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Genetics: People of African ancestry have a genotype that may cause them to metabolize cotinine more slowly than people of other ancestries

Current guidelines that make no distinction among different subsets of the population may not be the most effective use of efforts to control death from tobacco-related diseases like lung cancer, Holford said, noting that additional studies are needed to determine whether a sufficient number of African Americans are screened under current guidelines or if changes to current policy are necessary

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