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In the Netherlands, nearly 20,000 people die each year as a result of smoking, and a smoker lives an average of 5 to 10 years shorter than a non-smoker

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[101] No long-term studies have been done on the effectiveness of e-cigarettes in treating tobacco addiction, [58] but some evidence suggests that dual use of e-cigarettes and traditional cigarettes may be associated with greater nicotine dependence