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The report points to preliminary studies that have shown that using a nicotine containing e-cigarette for just five minutes causes similar lung irritation, inflammation, and effect on blood vessels as smoking a traditional cigarette

Risk factors for developing oral cancer include tobacco use in any form (smoking cigarettes, cigars, or pipes, and chewing tobacco), heavy alcohol consumption, HPV infection, particularly type 16, excessive sun exposure to the lips, and a previous history of oral cancer

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36 In 2012, it is estimated that states collected $25.6 billion in revenue from the tobacco settlement and tobacco taxes, but spent only 1.8% of it$456.7 millionon tobacco prevention and cessation

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