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The younger someone is when they have their first cigarette, the more likely it is that they will be a smoker for life, Sarah Rivin with the American Heart Association said

While the current but still limited literature suggests that e-cigarette use may lead to fewer negative cardiovascular effects than conventional cigarettes, our review supports that there is not sufficient data to conclusively make these resolutions. They urge that e-cigarettes be subject to the kind of pre-market scientific reviews that are required of other drugs

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It precedes you when you walk into a room, so everyone knows you smoke

PMID 20836040

In fact, half of Chinas adult males are active smokers and one out of every three cigarettes consumed internationally is smoked by a citizen of China