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Or getting up close and personal with a bug

Ruiz-Morales, L

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J Am Coll Cardiol 73:11 Osei AD, Mirbolouk M, Orimoloye OA, Dzaye O, Uddin SMI, Benjamin EJ et al (2019) Association between e-cigarette use and cardiovascular disease among never and current combustible-cigarette smokers

As pack-years alone appear insufficient for modeling the effects of smoking, there have been calls to consider both duration and intensity in assessment of smoking exposure 12,13