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2023 US CDC report: The morbidity rate from second-hand pods is 5.8 times higher than from new ones

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There is no oversight on safety or purity of the contents in these devices. Most vaping and e-cigarettes consist of nicotine or other potentially toxic substances

22 Liquids and vapor from e-cigarettes have also been shown to contain toxicants, including heavy metals (e.g., chromium, lead, arsenic), volatile organic compounds, and tobacco-specific nitrosamines, although in lower concentrations than cigarettes

Organization and fibrosis as a response to lung injury in diffuse alveolar damage, organizing pneumonia, and acute fibrinous and organizing pneumonia