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Furthermore, variations in enforcement and human activity across different protection levels, e.g., no take versus multiple use, may lead to inconsistencies in comparisons of contamination density, particularly since several protected areas lack a classified protection level

And does it cause more or less harm to the user?" Ashley says that minor differences in composition or design could make cigarettes significantly more dangerous or addictive

Kenneth Warner, a professor emeritus of public health at the University of Michigan, said, "This study shows an increased probability of trying a cigarette if they've tried a vape, but I don't believe they establish a causal relationship." Warner also pointed out that the results don't quite mesh with findings from national studies that show the use of tobacco cigarettes has gone down for the past five years, and the use of e-cigarettes dropped in youth nationally in 2016

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