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Despite these limitations, a growing body of literature has identified associations between dual use and worsened cardiopulmonary outcomes that exceed the risk associated with exclusive combustible smoking

Figure 12 Quit rates by age group (NZHS 2019/20 and 2020/21) Commentary The key findings from the 2020/21 NZHS include the following: There was a substantial reduction in daily and current smoking prevalence in 2020/21, including among Mori and Pacific peoples, although large disparities by ethnicity and SES remain The reduction in smoking prevalence was mirrored by a big increase in quit rates in 2020/21 The greatest reduction in smoking prevalence throughout the 2011/12 to 2020/21 period and between 2019/20 and 2020/21 occurred among people aged 55 years) smokers use of ECs as a smoking substitute and conduit to stopping all nicotine use

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It helps protect cells from inflammation

By the fourth stage, smoking is declining but disease is growing more rapidly than ever