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Despite overall lower smoking rates, authorities are still concerned about its health impacts for both smokers and non-smokers who may suffer from smoke exposure

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E-cigarette use behaviors also vary and users may deliberately or inadvertently inhale more nicotine than would typically occur, Gottlieb and Abernethy said, adding that e-liquids have varying levels of nicotine concentrations, and some e-cigarette design features may allow a user to obtain high levels of nicotine quickly. A study in February looked at the rise of nicotine concentrations in vaping products over recent years, suggesting that leading e-cigarette company Juul Labs spurred a widespread rush of companies seeking to boost their own concentrations in order to mirror Juuls success