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PMID 27272131

Nigerian regulations include health warnings on waterpipe devices, but compliance levels have not been confirmed.179 Electronic cigarettes and novel products Going forward an issue for countries is to determine appropriate health messages for newer product categories such as electronic cigarettes, heated tobacco products and nicotine pouches

Summary and implications Overall, the 12 studies in this narrative review show, at best, a lack of evidence for a statistically significant association between EC use and respiratory risks, and at worst, an association with mild respiratory symptoms (coughing or wheezing)

Because the smoke is inhaled directly into the lungs, it leads to a dramatic decrease in the amount of oxygen the tissues will receive