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Whilst that is true for cancer, it doesnt seem to be true for heart disease or stroke. Writing in the BMJ, Hackshaw and colleagues describe how they looked at data from 55 published reports, covering 141 studies carried out between 1946 and 2015 and involving several million people in total, to examine the impact of smoking on coronary heart disease or stroke

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doi: 10.1006/faat.1997.2334

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This is particularly the case for young people who are taking up e-cigarettes without having smoked before. Isabel Saraiva, former chair of the European Lung Foundation, who sadly passed away in 2024, previously commented: As an ex-smoker, I understand that it is tempting for people, who think that it will be easier to stop smoking by substituting cigarettes with e-cigarettes