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It found that just under a quarter of people aged 18-75 smoked daily, the lowest since it began keeping records in the late 1990s

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Another 2018 in-vitro study concluded that exposure to e-juice flavoring compounds may activate an inflammatory response in certain white blood cells

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In the latter there was a good correlation with the smoking index but in the bladder cancer patients with previous schistosomiasis there was no significant difference in smoking index between patients and matched controls