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Keywords: tobacco, saudi arabia, tinnitus, hearing impairment, smoking Introduction Smoking tobacco poses a major risk to health [1] and ranks among the top avoidable causes of death worldwide [2]

However, it is important to understand that less harmful is not the same as safe. The focus going forward will be to concretely establish the risks associated with vaping in order to provide policy makers with rigorous scientific evidence, and ultimately help the public make informed choices.

Smoking is still the leading preventable cause of death and is responsible for over 480,000 deaths in the U.S

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