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Figure 2 shows that current and former exclusive cigar smokers had about a 45% increase in heart disease mortality in the younger age group and a 9% to 16% increase in the older group, none of which were statistically significant (See Additional file 1: Table 1 for all results)

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Furthermore, it is important to note that even if a substance is legal in the traveler's home country, it may still be illegal in Spain

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This can occur with lung cancer, infections such as tuberculosis, bronchitis, or pneumonia, and certain cardiovascular conditions