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The perceived strength of the cigar may be altered due to the hotter burn experienced by thin cigars

Part of this cultural shift can be linked to the tobacco industry being exposed in 1994 by Congressional hearings and a major law suit a few years later

Karelitz, a posdoctoral scholar at the UPMC Hillman Cancer Centers Cancer Epidemiology and Prevention Program, public health researchers use the term e-cigarette to refer to devices which electronically heat a liquid to create an aerosol for a user to inhale, but which do not contain actual tobacco

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