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Many commercially popular loose tobacco brands use fewer additives and chemical enhancers than major cigarette manufacturers

But not this year

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He notes a telling 2013 article published in the Journal of the National Cancer Institute under the headline "No Clear Link Between Passive Smoking and Lung Cancer." The article described a large prospective study of 76,000 women that "confirmed a strong association between cigarette smoking and lung cancer but found no link between the disease and secondhand smoke." While "we don't want people to conclude that passive smoking has no effect on lung cancer," one of the researchers said, "this analysis doesn't tell us what the risk is, or even if there is a risk." An expert quoted by the journal, University of Chicago oncologist Jyoti Patel, "said the findings were not new," adding: "Passive smoking has many downstream health effectsasthma, upper respiratory infections, other pulmonary diseases, cardiovascular diseasebut only borderline increased risk of lung cancer