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When the program began, one in five adults in the state smoked

While there have been several efforts to determine the association between waterpipe tobacco smoking and gastric cancer in Vietnam, none has been conducted to evaluate the association between waterpipe tobacco smoking and the risk [for] overall cancer death, they said

Needs for further research Further studies are needed to (1) compare extracts from different manufacturers, (2) investigate intra subject variability, and (3) determine the relevance of SPT for pan-allergens

Meanwhile, other experts have cautioned that there is not yet enough scientific evidence to support their use as a smoking cessation tool