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And the decrease in citing indoor use lined up with the time frame over which a number of cities and states banned e-cig use indoors, they wrote

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In China, lung cancer rates in those who had never smoked fell steadily over time, probably due to a large reduction in household air-pollution, whereas the smokers lung cancer rates rose and will continue to do so, resulting in greater relative risks now than in the past ( Lancet 2015

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Supplementary Information The online version contains supplementary material available at 10.1186/s12889-025-25454-6