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One public health official told The Post Garcia would have trouble promoting public health policies as a heavy smoker

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or any device that can be used to deliver tobacco or nicotine to the person inhaling from the device, including an electronic cigarette, cigar, cigarillo, or pipe

Nicotine can also temporarily increase a persons heart rate and blood pressure

This phenomenon was illustrated in a 2020 study published in the International Journal of Environmental Research and Public Health