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As the American Lung Associations Erika Sward put it to me, Are we talking about the difference between jumping out a twenty-story versus an eight-story window? Sward was equally dismissive of the potential benefits of vaping for cigarette smokers looking to cut down or quit: Weve never bought into e-cigarettes as either a cessation product or a harm-reduction tool in the way the industry has tried to sell it. But the scientific evidence showing the efficacy of vaping as a harm-reduction tool is not being produced by industry hacks: Theres a growing body of research showing a correlation between e-cigarette use and smoking cessation, as well as multiple studies showing that combustible cigarette smoking decreases when smokers take up vaping

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Similarly, past-month cigarette smoking declined by 10.9% from 2006 to 2019 among adults with past-year substance use disorder and by 7.8% among adults without

At this stage, all solutions are considered and documented on the Cause Map diagram

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