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Exposure to e-cigarette aerosols can also impact the user's cognition, attention, and even mood

A 2022 report from The Office for Health Improvements and Disparities states that in the short and medium term, vaping poses a small fraction of the risks of smoking. However, they do add that studies assessing longer-term vaping (for more than 12 months) are necessary. Similarly, a 2018 review concluded that although more research is needed, it does seem like e-cigarettes pose less risk to respiratory health than smoking
legal penalties In the state of Hawai'i it is against the law to sell or furnish any tobacco product, including electronic smoking devices, to a person under the age of 21

Merchants of Doubt: How a Handful of Scientists Obscured the Truth on Issues from Tobacco Smoke to Global Warming

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However, results concerning small-for-gestational-age and low birth weight remain inconsistent
