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It is highly addictive and also a carcinogen

The negative impacts of increased land and water use, deforestation, greenhouse gas emissions and pollution from post-consumer waste, like third-hand smoke and cigarette butts, are disproportionately concentrated in LMICs

[63] With the current popular trend of flavored e-cigarettes use among young generations, there is concern about the potential long-term health of the public

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Additionally, they include water, gum acacia, xylitol, and citric acid for a satisfying experience with every use

Even so, the voluntary health agencies continued to play the insider game, while not increasing resources for their lobbying efforts