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This number, which is higher than previous SAM estimates (1), reflects the inclusion of 35,053 secondhand smoking-attributable heart disease deaths and slightly higher smoking-related RRs for cancers, respiratory diseases, and infant conditions

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and U.S., those who had vaped before age 15 were more likely to be smokers, as well as frequent tobacco smokers, by the time they reached late adolescence." This study can't prove that cigarette smoking and vaping cause heavier tobacco smoking in the late teens, only that there appears to be a connection, the researchers noted

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