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While the prevalence of adult e-cigarette use in the United States has fluctuated from year to year, the overall prevalence grew substantially from 2.2% in 2012 to 4.5% in 2021 [1, 2]

Edward Bulwer-Lytton, Night and Morning , Book I, Chapter VI

As stated before, although the long-term health effects of e-cigarettes are still being studied, its known that e-cigarette aerosol does contain cancer-causing chemicals, although in significantly lower amounts than in cigarette smoke (12)

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But coughing can be a sign of lung cancer, as well as other health conditions