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First generation devices are called cig-a-likes due to the similar appearance of cigarettes

According to a study funded by the California Air Resources Board, relative risks of cigarette smoking were larger for younger and middle-aged individuals than for the elderly. The board found very light active smokers who consumed three cigarettes or less a day have nearly the same relative risk of heart and lung disease as those who smoked a pack or more a day

"As the FDA considers how it chooses to communicate cigarette information, we encourage the agency to publicize the comparative risks of other tobacco products to the public so that adults who wish to continue to use them can make fully informed decisions between product options in the tobacco category," the statement said in part

Karam Mohamed was born and raised in Cairo Egypt