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According to the WHO Study Group on Tobacco Product Regulation, E-cigs are categorized as electronic nicotine delivery systems (ENDS), devices designed for the purpose of nicotine delivery to the respiratory system where tobacco is not necessary for their operation [59]

A previous cross-sectional study a study in which researchers collect data from many individuals at a single point in time found increased risk of asthma in people using e-cigarettes, while a longitudinal study a study in which researchers repeatedly observe the same individuals or groups over a long period of time indicated a higher risk of new respiratory disease symptoms

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