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Dawn Berkowitz, director for the Center for Tobacco Prevention and Control and the Maryland Department of Health, said e-cigarettes produce an aerosol that contains nicotine, chemicals, heavy metals such as copper and lead, fragrances that can be called vapor, but it is an aerosol

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In the United States, the National Academies of Sciences, Engineering, and Medicine found conclusive evidence that completely substituting e-cigarettes for combustible cigarettes reduces exposure to numerous toxicants and carcinogens