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Joel Kaufman, from the University of Washington, said: We were surprised to see how strong air pollutions impact was on the progression of emphysema on lung scans, in the same league as the effects of cigarette smoking, which is by far the best-known cause of emphysema

As long as tobacco control and associated health education are limited in these markets, the consumer proposition for e-cigs may be weaker than in the developed countries, and they may remain a niche gadget for the well-off

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For those who are exploring alternatives, options like nicotine replacement therapy, counseling, and Ayurvedic remedies can support a smoother transition to a smoke-free life