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In addition, cigarette smoke harbors high levels of acrolein, a recognized toxic compound to the pulmonary cilia, as well as other agents (such as acetaldehyde, formaldehyde and nitrogen oxides) that could indirectly contribute to the mechanism of pulmonary carcinogenicity

It has been documented that an assertive rather than a passive approach by physicians while raising the issue of HPV vaccination with parents may increase vaccination in young adolescents, although recent reports indicate that some doctors do not follow this approach (240)(241)

[But] vaping can help some people quit smoking [and] is less harmful [albeit] not harmless (NZ/A Ministry of Health 2022)

Studies have shown, and it has been my experience, that patients with asthma report increased coughing, shortness of breath, wheezing and/or chest tightness when using e-cigs