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It just means its safer than paper cigarettes, which doesnt really tell us a whole lot. Thats because not only do we not know what the long-term effects on the smoker are, but we also dont know what the long-term effects on second- and third-hand smokers are, either

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Near-term priorities Implement flavor restrictions for all tobacco products at the federal level Restrict points of sale Reduce nicotine levels in combustible tobacco products Improve cessation access Medium-term to long-term priorities Cap nicotine levels and delivery in all tobacco and nicotine products Develop new cessation interventions Phase out sales to younger generations Restrict commercial sales of cigarettes and some/all other smoked tobacco products Important considerations for these strategies Before these types of policies can be implemented, critical considerations must be taken into account to ensure success of these policies and to reduce unintended consequences

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Conclusion COPD risk increases with duration, intensity, and lifetime tobacco consumption and decreases importantly with years of abstinence