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Emerging data show that certain classes of users such as dual usersa person who both smokes and vapesrequire much higher doses of nicotine replacement therapy to quit effectively

ADDITIONAL REFERENCE: (1) Global Burden of Disease

But 22 towns in Massachusetts have already done exactly thatand done it quietly, at the most local level of U.S

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Individuals at increased risk of acquiring hepatitis A are: Travelers to countries where hepatitis A is common Men who have sex with men Illegal drug users (either injection or non-injection drug use) Researchers working with hepatitis A or with primates that are susceptible to infection with hepatitis A Patients with clotting factor disorders who are receiving clotting factor concentrates that can transmit hepatitis A Some local health authorities or private companies may require hepatitis A vaccination for food handlers