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For manual machines, you can easily wipe the parts with a damp cloth or brush to remove any leftover tobacco

"If you're not actually reducing tobacco consumption, it undoes any potential reduced harm effects, and the industry's just making money from people twice over," says Sophie Braznell, a researcher in the University of Bath's Tobacco Control Research Group and a spokesperson for STOP

Taken from that perspective, 'Skull of a Skeleton with Burning Cigarette' could be read as a thumbing-of-the-nose at 'the establishment.' ""Hanging skeleton and cat""

Cigarette smoking and cardiovascular disease: pathophysiology and implications for treatment