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The same process occurs in individuals exposed to high levels of air pollution, Christenson said

In a report, WHO said electronic cigarettes, known collectively as electronic nicotine delivery systems (ENDS), are harmful to health and, where they are not banned, they must be regulated. There is no doubt that they are harmful to health and are not safe, but it is too early to provide a clear answer on the long-term impact of using them or being exposed to them, it said

Nicotine Tobacco Research , 985992

This intricate network of dividing and subdividing creates loopholes for counterfeiters to exploit the supply chains