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It has both cooling and heating functions, so it can be used in any weather

Then theres the tobacco itself, a blend of different leaf types, often processed and cut in a way that ensures even burning and a consistent nicotine release

Among women who had never smoked, after adjustment for potential confounders, those with the most extensive exposure to passive smoking (=10 years exposure in childhood, =20 years exposure as an adult at home, and =10 years exposure as an adult at work) had a 32% excess risk of breast cancer compared with those who had never been exposed to passive smoking (hazard ratio 1.32 (1.04 to 1.67))

by the 1890s, production had increased to several million pounds per year