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Kreteks, also known as clove cigarettes, are imported from Indonesia and contain a blend of tobacco, cloves, and other additives, which allows for deeper inhalation compared to commercial cigarettes

In a major US case-control study involving 4,975 lung cancer cases and 27,294 controls, 'dual use' was also found to be associated with a 59-fold higher risk of lung cancer compared to non-smokers, which was more than four times higher than that observed in smokers of traditional cigarettes exclusively

Cigarettes were largely unknown in the English-speaking world before the Crimean War, when British soldiers began emulating their Ottoman Empire comrades, who resorted to rolling their tobacco with newsprint

Only 3.2 percent of adults who had never smoked cigarettes tried them, but the CDC and some public health advocates have been alarmed by a dramatic rise in their use among teenagers