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"Although we can assess whether the proportion of current or recent smokers using HTPs has increased, we cannot track whether these individuals have used them before or possibly used e-cigarettes, for example, whether they have shifted from safer alternative products to more harmful ones." Villar stated that Philip Morris International (PMI) has a responsibility to prove that its products are safe

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This suggests a prevalent misconception: substituting traditional combustible cigarettes with e-cigarettes does not significantly lower lung cancer risk for those already eligible for screening, she added