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Cleveland, OH Percentage of adults who smoke: 27.8% Percentage of adults in poor physical health: 18.7% Percentage of adults with COPD: 11.1% Percentage of adults with cancer: 5.9% Percentage of adults who have experienced a stroke: 5.6% Percentage of adults with coronary heart disease: 9.0% Population: 378,589 Photo Credit: Sean Pavone / Shutterstock 1

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Risk estimates reflect 3-4-fold higher risk of lung cancer among those who combine vaping with smoking cigarettes (OR=38.7) compared to those who only smoke (OR=9.6)

J Neurol Neurosurg Psychiat 23 : 5662 Hariharan M, VanNoord T, Greden JF