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Among those current smokers who were aware of unbranded tobacco, current use increased by 44% from 14.4% in 2019 to 20.7% in 202223

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That same combustion process that burns the tobacco and paper also produces a toxic cloud of carcinogens that directly harm lung tissue, says Narjust Florez, MD, a thoracic medical oncologist at Dana-Farber Cancer Institute, co-director at the Young Lung Cancer Program, and assistant professor of medicine at Harvard Medical School

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