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Reductions in the level of NNAL (4-[methylnitrosamino]-1-[3-pyridyl]-1-butanol), a biomarker for tobacco smoke carcinogens, were small, and 1 group (opioid users) experienced an increase in the level of NNAL." Ten pregnant smokers in Burlington, VT and Baltimore, MD participated in 20172018
Quitting smoking can be difficult
British Lung Foundation, Why is smoking bad for me? Royal College of Physicians, Nicotine Without Smoke -- Tobacco Harm Reduction The Royal Society of Public Health,Professor John Britton Cancer Research UK, Tobacco Harm Reduction and Nicotine Containing Product Public Health England, E-cigarettes around 95% less harmful than tobacco estimates landmark review Action on Smoking and Health, "Use of e-cigarettes (vaporisers) among adults in Great Britain Royal College of Obstetricians and Gynaecologists, Smoking and pregnancy New Scientist, Long-term smokers who start vaping see health benefits within a month Planet of the Vapes, NNA Flavour Warning
Some of the worst pollutants include nicotine particles that can be absorbed by surfaces, leading to thirdhand exposure (via skin contact or dust inhalation)