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This new evidence also suggests that [because of vaping] we may see an increase in respiratory disease as youth and young adults age into midlife, including asthma, COPD, and other respiratory conditions. This work was supported by the National Heart, Lung, and Blood Institute, the US Food and Drug Administrations Center for Tobacco Products (CTP), and an American Lung Association Public Policy Research Award.

The couple initially appeared to be happy during the early years of their marriage and even had two children (David in 1961 and Sarah three years after)

But Howard says the driving force is what he calls "smokeless" products