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In 2019, an outbreak of lung injury was linked to vaping.[142] A person using a later-generation e-cigarette

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With light cigarettes, the design of the cigarette is altered in a way that could, in theory, deliver lower amounts of nicotine if they were used in a specific way, said William Shadel, associate director of the Population Health Program at Rand Corp

Additionally, it has been calculated that e-cigarette and tobacco product dual users are 3.3 times more likely to experience respiratory illness than non-smokers who have never used e-cigarettes

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