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For comparison, the average cancer reduction for all 612 counties included in the study was 62% if everyone had quit smoking 20 years ago suggesting that there is something else driving cancer rates in places like Allegheny County

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The long-term health consequences of September 11 remain politically and emotionally charged

Amanda Sandford, a spokesperson for Ash, the anti-smoking charity, said: "For the EU to treat e-cigarettes as tobacco products muddies the waters and causes confusion