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Smoking causes these diseases partly "by triggering inflammatory processes and increasing the general inflammatory environment." Looking over the past 50 years of the war on smoking, the report authors warned that the disease risks from smoking by women have risen sharply and are now equal to those of men for lung cancer, and pulmonary and heart diseases

The main purpose is to incite smokers who could be quitters to stay consumers of their products, said Pascal Diethelm, president of Oxysuisse, a Swiss NGO dedicated to tobacco prevention

This novel measure combines self-reported assessments of number of times the respondent takes a puff on a vape per day they vape (When you vape, how many puffs do you take?), number of days vaped in the past month (On how many days, of the past 30 days, did you vape?), and number of years since vaping started, calculated as current age subtracting reported age when the participant first vaped (How old were you when you first tried vaping?)

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