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For Stanton Glantz, PhD, a professor of medicine at the University of California San Francisco who has studied electronic cigarettes, one of the biggest worries about the devices is something called dual use. The term means that while some electronic cigarettes market themselves as safer alternatives to cigarettes, many people dont fully replace tobacco cigarettes with their electronic counterparts and instead just combine the use of both

This suggests the possibility that cigar smokers with certain sociodemographic characteristics may be more likely to continue using cigars and also more likely to purchase larger package quantities

Cumulative smoking was measured using packyears, where 1 pack-year equaled smoking 20 cigarettes smoked per day during 1 year

Tobacco that smells musty, shows visible mold, or has developed off-odors should be discarded