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[Abstract VVrijheid M, Fossati S, Maitre L, Mrquez S, Roumeliotaki T, Agier L, Andrusaityte S, Cadiou S, Casas M, de Castro M, Dedele A, Donaire-Gonzalez D, Grazuleviciene R, Haug LS, McEachan R, Meltzer HM, Papadopouplou E, Robinson O, Sakhi AK, Siroux V, Sunyer J, Schwarze PE, Tamayo-Uria I, Urquiza J, Vafeiadi M, Valentin A, Warembourg C, Wright J, Nieuwenhuijsen MJ, Thomsen C, Basagaa X, Slama R, Chatzi L

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The paper, which was published in the Oral Oncology journal, concluded that the tests strongly suggest that electronic cigarettes are not as safe as their marketing makes them appear to the public. "Vapourised e-cig liquids induce increased DNA strand breaks and cell death. Dr Jessica Wang-Rodriguez, chief of pathology at the San Diego branch of the US Department of Veteran Affairs and co-author of the research said evidence to date suggested that e-cigarettes are no better than smoking regular cigarettes." She explained that many studies have shown that nicotine can damage cells, however her team's study indicates that other components in e-cigarettes may be carginogenic

Today, Tobacco Nation is comprised of the same 12 states we identified in 2017 Alabama, Arkansas, Indiana, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Ohio, Oklahoma, Tennessee, and West Virginia with smoking prevalence within the top quarter of adult smoking prevalence in the country