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While neither smoking cigarettes nor vaping nicotine are safe per se, the bulk of current evidence indicates substantially greater harms from smoking, which is responsible for nearly one in five adult deaths annually

Hospital systems could also adjust care protocols so that every stroke patient receives a consultation with a tobacco cessation specialist and is enrolled in a smoking cessation program with the option to opt out, as opposed to having to seek out a program. A limitation of the study is that the data in the survey was self-reported it relied on individuals to indicate if they have ever smoked or are currently smoking

However, the construction quality of the cigarettes themselves is not as good

"I do believe in that adage, if you fail to plan, you plan to fail," Minor said