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The Food and Drug Administration initially joined other groups warning that vapers may be at higher risk, but a spokesperson for the agency revised its advice two weeks ago to acknowledge that the relationship is currently unknown

In a white paper released last month, the ICMR said e-cigarettes adversely affects the cardiovascular system, impairs respiratory immune cell function and airways in a way similar to cigarette smoking and is responsible for severe respiratory diseases

2.5 Survey instrument The primary outcome, Endorsement of Tobacco Use Attitude Score (ETUAS), was evaluated using a 4-item scale administered exclusively to participants who indicated current tobacco product(s) use

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