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According to research by Charalambos Vlachopoulos, MD, and several other researchers from the Cardiology Department of Athens Medical School, Greece, caffeine and cigarettes consumed together can interact and produce negative effects on the heart

Medical professionals, especially dentists should identify the addicted patient and counsel on quitting nicotine addiction

Although the 1964 Surgeon Generals Report on Smoking and Health criticized candy cigarette makers for trying to lure youngsters to the smoking habit, the sale of these products to children went unchallenged until the 1980s when pressure and adverse publicity generated by organizations such as DOC (Doctors Ought to Care) led tobacco companies to protect their cigarette brands from being used by candy companies