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This means that the claim that one puff of shisha is equivalent to smoking 10 sticks of cigarettes is MOSTLY FALSE

A549, RPMI2650, BEAS-2B, or MLE12 cells were seeded on 12 well-transwell inserts (Corning, ME, USA) for 24 h before CSE treatment and then, cells were cultured with 10% CSE-containing media for 48 h, rinsed with PBS

This phenomenon was reported in previous studies in the difference in the concentration of various types of pollutants in mainstream smoke and discarded cigarette butts 31

Babies exposed to nicotine spend more time in a doctors office, often for respiratory infections

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An evidence review titled Nicotine vaping in England: 2022 evidence update reports that vaping is less harmful than smoking