Cancer is a serious public health risk, and approximately 7 million deaths per year around the world are attributed to smoking each year. In recent decades we have come to better understand the link between smoking and cancer; 22% of all cancers are linked to a person’s smoking and 70% of people globally now understand that link, up from just 40% in 1966. This relationship has often clouded a discussion of cancer risks. But as far as we have come in understanding how smoking, genetics, and even stress affect our chances of developing life-threatening cancers, we still understand very little about the relationship between alcohol and cancer. Only 13% of adults surveyed in the UK believe that cancer is a health risk of drinking alcohol, despite research linking it directly to multiple different forms of cancer that affect both men and women. Smoking and drinking both have second-hand effects to consider as well - 40,000 deaths each year attributed to non-smokers exposed to smoke. Alcohol and its effects on drivers is also significant, as auto and motorcycle traffic injuries are the ninth cause of death across all age groups, globally, and many are alcohol and/or drug-related. Despite a decrease in driving under the influence of alcohol prevalence over the past decades, DUIA prevalence still remains very high in the United States.1
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Electronic cigarettes (e-cigarettes) are the most commonly used nicotine-delivery product among US youth and their popularity is rising - 1 in 5 high school students currently use them. Until recently, there were few regulations on how companies that sell e-cigarettes can market and sell them - although companies claim that the product was made for and is marketed to adults, there has been a major uptick in use. Aggressive marketing campaigns that position e-cigarettes as a safe alternative to smoking have worked, convincing adults and youth that e-cigarettes are harmless. Because they are new to market, E-cigarette companies can also employ types of marketing strategies that are forbidden to traditional cigarette companies due to their efficacy among adolescents, such as sponsoring film and music festivals. E-cigarettes, also called vapes, vape-pens, and e-hookahs, can be filled with tobacco products that are far more addictive than cigarettes due to their much higher nicotine concentration. Instead of being packed with tobacco, e-cigarettes use cartridges that are filled with liquid that can deliver a much higher dosage of nicotine. These cartridges can also be can also be filled with cannabis.