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In 2010, California's smoking rate reached a record low of 11.9 percent (it's risen slightly since), down from almost 26 percent in 1984

Smoking cigarettes damages the lungs because a person inhales nicotine, among other chemicals

And because there is no evidence that IQOS reduces the risk for disease associated with smoking, the FDA rejected PMIs other request to market IQOS as a reduced risk product

Low-tar medium-nicotine cigarettes: a new approach to safer smoking

But Shields sees a clear way forward for everyone, and it involves assigning no blame, and laying on no one the psychic burden of choosing between two ways of giving oneself cancer