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These include how often and how much tobacco they consume, biochemical markers (such as levels of cotinine, a by-product of nicotine metabolism) (covered in 12.5.6 Biomarkers of tobacco smoke and damage), and self-reported smoking behaviour measured in questionnaires

Another potential downside to smoking among healthcare workers is how it can affect patient care

Al Rose, manager of Discount Tobacco, said he knew his cigarettes were different immediately

While vaping is less dangerous than smoking, there is nothing good about creating a new generation of nicotine addicts

This is a step in the right direction toward ending Big Tobaccos influence on kids, and we know even more can be done to reduce the toll of tobacco in our communities, said Karen Knudsen, CEO of the American Cancer Society and the American Cancer Society Cancer Action Network