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Some participants acknowledge that there may be a reduction in certain harmful substances when compared to traditional cigarettes, yet they remain cautious: Yes , they may be somewhat less harmful than cigarettes to some degree

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24 A review of studies on smoking and driver distraction found that smokers have an increased risk of involvement in motor crashes and actual distraction caused by the act of smoking is a likely factor. 25 The review concludes that it is clear that smoking while driving is a hazard. 26 A Taiwanese study examining the risk of injury for drivers who smoke found that smoking almost doubled car death risk

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