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Compared with benchmark Smoking attributable deaths from heart disease (Persons 35+ yrs) Source: OHID, based on Office for National Statistics data The same pattern is evident for stroke with an initial fall in the mortality rate between 2013-15 and 2014-16 followed by a small increase or relatively small changes in the intervening period

However, they emphasize potential health risks, especially with long-term use, and call for more research on effects like respiratory symptoms, lung damage, and mental health issues

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