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Bacteria, particularly Haemophilus influenzae , Streptococcus pneumoniae, Staphylococcus aureus and Pseudomonas aeruginosa , have been implicated in the development of smoking- related chronic lung diseases, like Chronic Obstructive Pulmonary Disease (COPD), by either direct infection or bacteria-mediated inflammation

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This can keep nicotine use high

However, for chronic tobacco smokers there were significant improvements in vascular function within a month of switching from a tobacco cigarette to an e-cigarette

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