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The critical difference comes down to combustion

As the combustion of the tobacco is incomplete, cigarette smoke also contains solid carbon-based nanoparticles (cbNP) [67], which is consistent with the processes involved in soot formation during combustion [66]

Flavours are a major driver of youth initiation and undermine cessation efforts

SwisherBackwoodsDutch Hookah sets, hoses, charcoal, and popular shisha flavors

Yossi Harel-Fisch, director of Bar-Ilan University's International Research Institute on Adolescent Well-Being and Health, told the Jerusalem Post that social distancing and other public health measures implemented during the COVID-19 pandemic contributed to mental distress that caused some adolescents to turn to tobacco use