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Clinicians and public health practitioners should increase awareness that dual use of cigarettes and e-cigarettes is not safe and may present similar risks as continuing to smoke cigarettes, especially if one does not reduce the number of cigarettes smoked, Xue added

The result: The excess risk of cancer death in blacks, compared with whites, fell from 47% in 1990 to 19% in 2016 for men and from 19% to 13% for women, according to the study

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