Discussion

Explanation:

Since the sentence talks about pipes being used as a substitute for cigarettes, the appropriate word that would fit the blank is “alternative”.

For the second blank, ‘likely to higher rates’ is grammatically incorrect. So, eliminate option 1.

People being responsible for higher rates of lung and mouth cancers is absurd. So, eliminate option 2.

People cannot be involved with higher rates of lung and mouth cancers. So, eliminate option 4.

Hence, the correct answer is option 3.

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