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While some of the risks associated with smoking may be slightly lower for those who smoke pipes, pipe smoking can still harm your health in various ways
Chinas Marlboro Country: A Massive Underground Industry Makes China the World Leader in Counterfeit Cigarettes
Youth Engagement Tools K-12 School Resources Audience: K-12 School Administrators and Staff Audience: TUPE Coordinators Audience: K-12 School Administrators and Staff, TUPE Coordinators, Tobacco Prevention Coalitions Audience: TUPE Coordinators, Youth Coordinators

However, the prevalence of macroscopic emphysema among cannabis-only smokers was relatively low (1.3%) compared with significantly higher rates observed in combined cannabis and tobacco users (18.9%) and tobacco-only smokers (16.3%) (9)

Stanojevic, S

10.1093/eurheartj/ehae756 [DOI] [PubMed] [Google Scholar] 70.Office for Health Improvement and Disparities
