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The report found limited evidence for improvement in lung function and respiratory symptoms among adult smokers with asthma who switch to e-cigarettes completely or in part. Limited evidence was also found for reduction of chronic obstructive pulmonary disease (COPD) exacerbations among adult smokers with COPD who switch to e-cigarettes completely or in part. In terms of pregnancy and developmental effects, the report found no available evidence whether or not e-cigarettes affect pregnancy outcomes, and insufficient evidence whether or not maternal e-cigarette use affects fetal development. The report mentions that more research is needed to fully understand if and under what circumstances e-cigarettes can help adults to quit smoking, and it states that the use of e-cigarettes should be discouraged among teens by restricting access and through educational and public awareness campaigns

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Smoking is more likely to kill people from heart disease even before someone may know they have heart disease. Key study findings: More than 50% of adults aged 40 to 59 who smoked developed cardiovascular disease and were 1.8 times more likely to die of a fatal heart attack, stroke or heart failure without previous warning

Rather than allowing the e-cigarette industry to self-regulate, product standards may need to be implemented, and disclosures on nicotine dimensions and other e-liquid ingredients should be required