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It was discovered that while all smokers tend to have more cell mutations, the DNA repair mechanism in some patients seemed to be stronger

This means industry giants can cash in on their consumers several times: first when someone buys a packet of cigarettes, then to get rid of their addiction, and again when they need treatment or drugs due to smoking-related illness

Researchers also found that in many cases, the added flavor exacerbated the detrimental effects of e-cigarette vapor and concluded that both vaping and conventional cigarette smoking negatively impact lung biology (10)

In our 2017 report, Tobacco Nation: The deadly state of smoking disparity in the U.S., we highlighted a group of 12 states in this region, all of which had higher smoking prevalence than the national average: Alabama, Arkansas, Indiana, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Ohio, Oklahoma, Tennessee and West Virginia