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A study found that among women with breast cancer, those who were current smokers died from breast cancer at twice the rate than those who never smoked

"Our findings provide the first evidence that smoking in combination with vaping significantly increases the risk of lung cancer compared to smoking alone," said study co-author Dr

However, additional follow up studies are required in COVID-19 pandemic to clarify the effect of e-cigarette use on lung and cardiovascular complications derived from SARS-CoV-2 infection

And in situations where drug or alcohol use is unlikely to have caused or contributed to an incident, requiring employees to submit to a drug test could be considered retaliatory