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Switching to iQOS can significantly reduce the risk of disease compared to regular smoking." The device could be more appealing to many smokers than electronic cigarettes because the iQOS heats tobacco instead of a liquid containing nicotine

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10.1128/AAC.02516-18 164 SasaharaK.ShimokawaY.HiraoY.KoyamaN.KitanoK.ShibataM.et al (2015)

Smoking cost the country about $96 billion in 2009, according to CDC statistics

This will cause stress fractures and eventually cause the pipe to break, fracture, or split

You say that insects are contaminated because they touch feces or garbage