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More than 70 known carcinogens in cigarette smoke make tobacco the top modifiable risk factor for cancers of the mouth, throat, larynx, and sinuses, especially when combined with alcohol

Central and Wake Forest five times, North Carolina four times and N.C

Although the health effects of second-hand vapour are believed to be lower than that of second-hand smoke, it is still recommend that user be aware of their surroundings and not vape near children or other non-vapours

The 2021 figures are alcohol-specific deaths, which are defined as a direct consequence of alcohol

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