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About half (53%) of Americans still see cigarette smoking as an extremely or very serious public health problem, according to a Pew Research Center survey conducted last November

In this study, drawn from 2023 and 2024 National Health Interview Survey data, the author observes that routine public reporting of adult smoking prevalence has been interrupted, creating gaps in the continuity of federal tobacco surveillance

Furthermore, even when dysplasia is present in ST leukoplakia, it usually is found in earlier stages than in leukoplakias due to smoking [62,63], where it is seen in about 20% of cases [64]

Neither product is "safe"