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"There is evidence that electronic cigarettes are an effective strategy for harm reduction so they have a place in our repertoire of strategies to deal with smoking addiction, but it's kind of a double-edged sword," Siegel says

For a long time, most of the health impacts of smoking were misunderstood and often underestimated, in part because the emissions of cigarettes had not been fully assessed

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Although the effect of smoking on survival was not statistically significant due to the small number of non-smoking patients (5 cases), clinically, a higher percentage of advanced laryngeal cancer patients were smokers

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Cigarette stick warnings, which were novel and provided new information to participants, were seen as much more effective than the packaging warnings. Earlier this year, scientists from the University of Stirling in Scotland carried out a similar study with individual cigarette warnings