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Some handmade cigars are bunched by machines and finished by hand, with the wrapper being applied by an experienced roller

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One of the other challenges is the debate over whether we should be careful in communicating about the harms of e-cigarettes because e-cigarettes might be an off-ramp for adult smokers who cannot otherwise quit, helping them switch to less harmful products

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Description Cigarette smoking is an ongoing health crisis in the United States and Canada with almost 20% of adults in the US smoking