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Figure 1 3.2.1 Respiratory effects Based on the experimental and epidemiological studies reviewed ( Exposure to second-hand smokewhether from traditional or e-cigarettesfurther increases the risk of developing asthma, particularly when both parents smoke ( A systematic review and meta-analysis involving over 900,000 participants reported that prenatal vaping exposure increases the likelihood of adverse neonatal outcomes by 53%, including low birth weight (OR 1.56