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It is not associated with elite gifting or major cultural symbolism

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Other health consequences in children exposed to secondhand smoke include middle ear disease, respiratory symptoms, impaired lung function, lower respiratory illness, and SIDS, and it is estimated that 400 infants die from SIDS due to exposure to secondhand smoke each year (Ref

While e-cigarettes contain fewer harmful chemicals than cigarettes, they still expose users to toxic substances , including formaldehyde and acrolein