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One study from the 1990s showed that approximately 50 percent of patients who were followed after inpatient substance abuse treatment died of tobacco-related causes a rate that exceeded deaths from alcohol-related causes (34 percent). Other studies indicate that people with substance use disorders tend to start smoking at a younger age, are more dependent on nicotine, and have a greater risk for some alcohol and smoke-related cancers

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Studies have shown it can still be inhaled via second-hand smoke, and those chemicals in the vapor dont simply vanish they fall to the ground or whatever surface is nearby. That falling to nearby surfaces poses yet another risk to anyone who touches those surfaces including other adults, pets and, yes, children too