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(Image courtesy of Eric Jackson) Series 115 (1945) Springer TG653b, 1-1/2 ounces, Series 115, John Quincy Adams, plate number 46367, with 3A

Further reflection is needed on the evidence update, published in 2015, and associated policy on tobacco control from Public Health England (PHE) an executive agency of the UKs Department of Health and the role of e-cigarettes

Although all studies consistently indicated a statistically significant positive association between current e-cigarette users with a smoking history and the prevalence of COPD, the included studies showed high heterogeneity ( I 2 = 95.82%), and the prediction interval for the ORs was 0.86 to 5.47 (Figure 3C)

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