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One factor impacting the decision is the decline in cigarette sales, which have dropped by 26% since 2019

The opposite is true for most low and middle income countries today

Based on the evidence to date I believe they are no better than smoking regular cigarettes, said Dr Jessica Wang-Rodriquez, professor of pathology at the University of California, San Diego, and one of the lead researchers on the new study

Revah notes the differences between smoking marijuana and smoking tobacco, like marijuana being smoked without a filter and how it is generally inhaled with a longer breath hold than tobacco, as possible causes for more cases of emphysema