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HBV can be spread in the following ways: Having unprotected sex with an infected person Sharing a needle with an infected person Getting a tattoo with unsterilized needles Sharing toothbrushes or razors with an infected person Being bitten by an infected person If left untreated, chronic Hepatitis B can lead to scarring of the liver

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Researchers have also reported that in animal studies, vape smoke has caused cancer in mice

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"Prevalence of tobacco use among healthcare workers in Italy: A systematic review and meta-analysis"

PMID 9869440