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Primary and secondary cigar users had significantly lower serum cotinine (geometric mean cotinine concentrations: 6.2 ng/mL and 24.2 ng/mL for primary and secondary cigar users and 131.4 ng/mL for current cigarette-only users) and urinary NNAL concentrations than current cigarette-only users (19.1 pg/mg creatinine, 78.6 pg/mg creatinine, and 215.4 pg/mg creatinine, respectively)

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1 cause of preventable deaths in the world (even today, the five-year lung cancer survival rate is only 15 per cent), has no social merit (most smokers would quit if they could), causes widespread suffering and has been blacklisted as an investment by the United Nations tobacco treaty