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Initial management involves broad-spectrum antibiotics and supportive oxygenation management techniques such as supplemental oxygen and bronchodilators as required.1 14 Bacterial or atypical pneumonia is covered by broad-spectrum antibiotics, which may coexist or be initially suspected based on clinical features and imaging.14 Systemic corticosteroids are the mainstay treatment for EVALI, although no definitive dose exists to initiate management

Public health perspectives have shifted, with organisations like Public Health England supporting vaping as a cessation and harm-reduction tool for adult smokers

Lately there has been a WI resurgence when tobacco companies found that raising Burley tobacco in a northern climate changed the composition to have a lower level of carcinogens