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24 A review of studies on smoking and driver distraction found that smokers have an increased risk of involvement in motor crashes and actual distraction caused by the act of smoking is a likely factor. 25 The review concludes that it is clear that smoking while driving is a hazard. 26 A Taiwanese study examining the risk of injury for drivers who smoke found that smoking almost doubled car death risk

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The main difference lies in the absence of nicotine, which means herbal cigarettes dont create the same addictive effects as tobacco products