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This is concerning, since, in many ways, smoke is smoke, and using devices with water filters, like bongs and hookahs, doesnt help in terms of the tar exposure

In 2001, a panel of experts wrote a 236-page report for the National Cancer Institute, saying, In fact, the use of these cigarettes may be partly responsible for the increase in lung cancer for long term smokers who have switched to the low-tar/low-nicotine brands. Another consultant for Philip Morris and the chemical industry, Kenneth Mundt of Ramboll Environ, has attacked the NCI report

It is the third leading cause of death worldwide and is primarily caused by long-term exposure to noxious particles and gases, with cigarette smoke (CS) being the main risk factor [2]

"Advertising Created & Continues to Drive the Menthol Tobacco Market: Methods Used by the Industry to Target Youth, Women, & Black Americans" (PDF)