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Vaping is therefore thought to be virtually as dangerous and unhealthy as smoking tobacco cigarettes

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As can be seen in Table 5-1, following the release of that report and with an increasing body of evidence demonstrating the adverse health effects of secondhand smoke, during the 1990s state and local governments across the country enacted an increasing number of more restrictive bans, including bans on smoking in most workplaces in some states

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These sustained reductions suggest that many participants were able to internalize the gains achieved during the program and maintain behavioral changes over time