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In contrast, advanced disease with severe airflow limitation and frequent exacerbations can shorten life expectancy

Cigarettes involve inhaling nicotine through smoke, while e-cigarettes involve vaporized nicotine inhalation

Thus, every effort should be made to persuade them to quit smoking in order to improve their health and to increase lifespan, independently of blood pressure values

(Because New Zealand is a relatively small and isolated island, smuggling is less of a concern than it is in the United States.) In 2011 the New Zealand government committed to becoming smoke-free by 2025, which it defined as a national smoking prevalence below 5 percent