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Epidemiological studies on HnB use The literature search identified three independently funded surveys on awareness and use of HnB products: two from Japan5 41 and one from the UK.42 The studies from Japan reported findings from a nationally representative sample of 8240 respondents aged 1569 years first surveyed in 201541 and followed up in 2016 (follow-up rate 65.6%) and 2017 (52.2%).5 The data suggest growth in IQOS use: in 2015 0.3% reported using IQOS in the last 30 days, in 2016 this rose to 0.6%, and in 2017 to 3.6%.5 The use of other HnB products (not mutually exclusive) in 2017 was lower: 1.2% had used Ploom in the last 30 days (a rise from 0.3% in 2015) and 0.8% had used glo in the last 30 days (no data for previous years).5 The same study reported that among 11.9% of the sample that had been exposed to HnB secondhand emissions, more than a third (37%) experienced at least one symptom (eg, sore throat, eye pain, feeling ill, etc) related to this exposure

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Partnering with the University of Maryland School of Medicine and University of Maryland, Baltimore who educate the states future health care professionals, UMMS is an integrated network of care, delivering 25 percent of all hospital care in urban, suburban and rural communities across the state of Maryland