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Externalities transform what would be private risks and costs of the smoker himself into social costs

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And if we had limited our analyses to urine, and not included saliva, we would not have captured this important process that happens in the oral cavity of e-cigarette users. Further research should take the studys findings into account when assessing the potential health impact of long-term e-cigarette use

Public health must rise to the challenge of steering this technology toward equity, recognising that harm reduction is not simply about offering alternatives, but about ensuring that those alternatives are accessible, effective, and empowering for all

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