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These problems are more common with first or secondhand smoke, but do occur with thirdhand some

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E-cigarettes and newer products, while often excluded from tobacco cost models, are expected to contribute increasingly to future CVD-related expenditures, particularly through: Higher incidence of hypertension and arrhythmias in the youth

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Apart from this impact, researchers are saying further conclusions about possible problems are difficult to make due to a relative paucity of literature. The medical community seems confident they will find more links showing that cannabis smoke is unhealthy, but right now firm associations with cancer, chronic obstructive pulmonary disease (COPD), or emphysema like with tobacco have been elusive