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Social care: It is estimated that the additional social care costs are 13.9 billion per year (relating to additional care costs that are additional to or earlier in life, because of smoking-related conditions, informal care by family and friends, and the cost of unmet care needs)

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Vape pen use may also weaken the lungs' immune defenses and increase the risk of infections with pathogens, including the influenza virus and Streptococcus pneumoniae bacteria, according to a 2022 review published in the journal Cureus