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Pediatrics , 139 (2), e20162450

In 2014, the Surgeon Generals Report on the Health Consequences of Smoking stated that the evidence is sufficient to conclude that the increased risk of adenocarcinoma of the lung in smokers results from changes in the design and composition of cigarettes since the 1950s. The one thing really new about the current study is the authors recommendation that the Food and Drug Administration undertake an active study to determine whether the use of filters in cigarettes should be prohibited, Edelman said

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Little cigars in particular blur the line between cigarettes and cigars

Moreover, cannabis smoke and tobacco smoke are different, with cannabis smoke being considered to be less carcinogenic (cancer-causing)