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These vascular effects lead to thickening of blood vessel walls and enhance blood platelet stickiness, increasing the likelihood that clots will form and trigger heart attacks and strokes

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A study by Ernst and Young showed that the incidence of contraband tobacco sales varied between a low of 10% in Quebec and a high of around 50% in Ontario

A five-point plan is now being recommended by Public Health England, with doctors, health authorities, hospitals and smokers themselves being asked to carry this out: For smokers Anyone who has struggled to quit should try switching to an e-cigarette and get professional help