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Existing research that compared e-cigarettes with normal cigarettes found that cigarette contaminants are much lower in e-cigarettes, senior author Carsten Prasse, an assistant professor of environmental health and engineering at the Whiting School of Engineering and the Johns Hopkins Bloomberg School of Public Health, says in a statement

For many families, this adds another layer of stress during an already difficult time

Understanding of the long-term outcomes of ENDS use on cigarette smoking can ensure future scientific and policy recommendations that are in the best interest of public health

[53] The long-term effects of nicotine absorption through the skin have not been studied, but public health research on smoking suggests that nicotine exposure during adolescence may have lasting consequences on brain development