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Its not clear why half of people with HIV smoke, but according to Shamo, a public health consultant in the Tobacco Control Program, people with HIV often fall under three groups that tend to smoke already: the LGBT community, substance abusers and people with mental health challenges

The common excuse is that they smoke one or two cigars a day and that that is nothing compared to 20 30 an average cigarette smoker smokes

"Vaping appears to be driving unique patterns in bacteria and influencing the growth of some bacteria in a manner akin to cigarette smoking, but with its own profile and risks to oral health," said Fangxi Xu, a junior research scientist in Saxena's lab and the study's co-first author

Final Question: Can Marlboro remain dominant in a world that is actively moving beyond cigarettes