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The patients suffering from moderate symptoms needed to be hospitalised, while those with severe symptoms required treatment in an ICU

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In one of them, a 2014 review published in the journal Current Environmental Health Reports , Thomas Novotny, a professor of epidemiology at San Diego State University, reported that cigarette butts account for the largest percentage of waste (approximately 19 to 38 percent of total waste products) collected globally during annual coastal clean ups

Concerns regarding e-cigarettes primarily focus on nicotine exposure, secondhand exposure, the potential for e-cigarettes to be a gateway to cigarette use, and renormalization/social acceptance of smoking (Bell and Keane 2014

While the CDC and FDA continue to investigate possible other contributing substances, CDC has identified a thickening agentVitamin E acetateas a chemical of concern among people with e-cigarette or vaping associated lung injuries