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Despite smoking being the cause of 80 percent of cases of chronic obstructive pulmonary disease (COPD), 38 percent of COPD patients report that they still smoke

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notes that some researchers "had linked e-cigarettes to an unusually large drop in teen smoking a few years ago, and they say it's not clear to what extent the decline in smoking has stalled or to what degree vaping is to blame." One those researchers, Georgetown's David Levy, warns that "it's not clear yet what's going on, and it's best to not jump to any conclusions."