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These types of studies are what we need to make well-researched and safe recommendations, he said

An optimal prospective observational study design would identify and follow a large cohort of smokers who want to quit or are making a quit attempt, assess e-cigarette exposure in detail before the smoking cessation outcome is assessed, biochemically confirm self-reported tobacco abstinence, and adjust for multiple potential confounding factors associated with e-cigarette use and with smoking cessation

"We have no plans to move to smoke-free prisons overnight and will only do so in a phased way that takes into account operational resilience and readiness of each prison," he said

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