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These forms of smoking are at least as detrimental to lung health as smoking cigarettes and should not be considered as a safe alternatives of cigarette smoking [38]

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Quitting smoking is the best thing a tobacco user can do to improve his or her health, improve chronic conditions like hypertension and diabetes, and avoid serious complications from respiratory illness including the flu which is so prevalent this time of year. said Kristen Richardson, RN, CTTS, Director of the Central New York Regional Center for Tobacco Health Systems

It is characterized by a problematic pattern of tobacco use leading to clinically significant impairment or distress