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However, the authors also emphasize that these studies only amount to a level of limited evidence, and that [w]hether or not the levels of exposure are high enough to contribute to human carcinogenesis remains to be determined. Additionally, [t]here is no available evidence whether or not e-cigarette use is associated with intermediate cancer endpoints in humans, the report says

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The states that may have exported cigarettes to Canada during this time period include Washington, New York, Michigan and several other Northern states, but the extent was small and not statistically significant