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NNN in particular is highly relevant to the health effects of cigars because it is a powerful oral cavity and esophageal carcinogen in rats when given in drinking water, while a mixture of NNN and NNK also produced oral and lung cancers in rats when applied in the oral cavity (Balbo et al., 2013

Older adult smokers have been smoking for a long time and tend to have lower rates of smoking cessation compared to younger populations, suggesting deeply entrenched behavior that is difficult to change, said Stephanie Mayne, PhD, the lead author of the study who is a former doctoral student at Drexel and now a fellow at Northwestern

Indigenous peoples across the Americas, Asia, and the Middle East used mullein, uva ursi, red willow bark, and aromatic herbs in ritual contexts, often precisely because the act of smoking was considered a form of prayer: breath made visible, intention carried on smoke toward the sky

The law itself doesnt say whether localities may enact their own smoking bans or not