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Paternal smoke exposure before the age of 15 years is a major risk factor for non-allergic asthma. Prof Jonathan Grigg, the chair of the European Respiratory Societys tobacco control committee, who was not involved in the study, said it added to the evidence of smokings intergenerational risk

Although currently there is a lack of any firm evidence to establish their absolute safety, such products should be considered many times safer than smoking. The problem, as ASH notes, is that current, unlicensed, products on the market vary widely in their levels of quality and effectiveness

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Difficulty concentrating, energy slumps during the day, or a frequent need to smoke in order to keep going can also be warning signs