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Among smokers, there was a significant decline in the mean number of cigarettes smoked per day between 2003 and 2011 (from 15.3 cigarettes to 13.8)

Frequent opening of packs and exposure to air also speeds up moisture loss

It is also assumed that relative risks decline with years of abstinence, at the rate observed in US studies 9

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Although the levels of toxic chemicals emitted by ETRPs vary, it is important to note that these tobacco products are not emission free, and the toxic chemicals they emit are hazardous (Table 1), and have the capacity to lead to serious health issues (including CVD), even at low levels [97]
