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New York State has made significant progress in reducing smoking

If supported by other work, the studys findings may mean that pod-based electronic cigarettes offer an even greater risk of nicotine dependence than other nicotine [and] tobacco products in this vulnerable population, says psychologist Thomas Eissenberg of Virginia Commonwealth University in Richmond, who coauthored a commentary accompanying the study

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In Europe they have had laws for many years where they have huge type taking up half a pipe tobacco tin exclaiming "SMOKING KILLS"

So the changes that normally come with aging seem to develop earlier in smokers