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The design (shown below, left) was downloaded over 1,000 times in three years

[35] [36] A 2025 study that analyzed data from the National Vital Statistics System (NVSS), the Behavioral Risk Factor Surveillance System (BRFSS), the National Health Interview Survey (NHIS), and the National Survey on Drug Use and Health (NSDUH) concluded that e-cigarettes had preserved 677,000 lifeyears from 2011 to 2019

Even though self-reports of smoking habits are subject to recall bias, as well as underreporting due to increasing stigma, studies over the years indicate that self-reported cigarette consumption is a valid measure for the assessment of trends in smoking prevalence 61,62

Series creator Chris Carter once called him "the devil", producing a mixed reaction among fans