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Alternative explanations exist including that the baby was exposed to smoke unbeknownst to the mother (e.g., from childcare providers or other relatives who smoked around the infant and of which the mother was unaware) or due mistaken beliefs regarding secondhand smoke exposure (e.g., beliefs such as smoking in the next room or smoking with the car window down effectively prevented their child from smoke exposure)
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PMID 26668136
This process produces an aerosol instead of smoke and avoids the combustion stage associated with traditional cigarettes
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