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Understanding the cause and knowing when to seek medical help is vital to ensuring a safe and effective detox process

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North Karelia, Finland) have been excluded from Cochrane reviews.4 7 In contrast to individual-campaign focused research, recent reviews16 17 suggest we require the kinds of messy evidence produced by observational and ecological studies and that greater investment is needed in research designs that track how communities social norms, antitobacco policy changes and related systems interact with tobacco control mass media intervention effects over time, especially to examine if inequities are being reduced in communities where various forms of disadvantage cluster.17 20 111 112 An exciting avenue to explore is whether messages developed and delivered by those in the smokers local community to complement mass-reach campaign messages are effective

I have seen more patients, especially younger ones, use herbal cigarettes because they think they are safer, says Dr Arunachalam