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That racial disparity, the authors said, largely stems from the fact that current guidelines include the pack-a-day measure of smoking intensity, which varies between Black and white individuals

By contrast, e-cigarettes (vapes) do not use tobacco leaves

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Public Health Service released "Smoking and Health: Report of the Advisory Committee to the Surgeon General of the Public Health Service." Over the decades, the reports of the Surgeon General have alerted the nation to health risks of smoking and changed the issues from consumer choice to scientific study and research that investigates factors linked to smoking

Ruszkiewicz JA, Zhang Z, Gonalves FM, Tizabi Y, Zelikoff JT, Aschner M