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Second-hand smoke, also known as environmental tobacco smoke, comes from two sources: smoke that is exhaled by the smoker, and the smoke produced at the end of a burning cigarette, cigar, or pipe

Among the 36 outcomes, there are 5 that have a 5-star association with current smoking: laryngeal cancer (375% increase in risk based on the BPRF, 1.56 ROS), aortic aneurysm (150%, 0.92), peripheral artery disease (137%, 0.86), lung cancer (107%, 0.73) and other pharynx cancer (excluding nasopharynx cancer) (92%, 0.65)

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Clinicians may counsel patients that the evidence base regarding ENDS safety is weak and we are not yet aware of the full risk profile of these products, but current evidence suggests they are safer than conventional smoking for current smokers but are not recommended for those who are currently non-smokers

If you smoke, you know how badly nicotine stains teeth and skin, and it is doing the same thing to walls inside homes or buildings where smoking is permitted