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Dr Abigail Evans, who led the research, said: Our study provides real world evidence of how viewing these graphic images over time has an impact on smokers beyond what occurs with simple text warnings. The researchers used US Food and Drug Administration labels, one which included an image of a man smoking through a hole in his throat, called a tracheostomy, which is the result of some smoking related cancers

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While many experts agree that compared with smoking, vaping is less dangerous to health, it is not a safe alternative and should not be promoted as such

Cigarette smoking among adultsUnited States, 2002

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About 42 million people in the United States, or nearly 18 percent of the adult population, smoke cigarettes, according to the Centers for Disease Control and Prevention