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Suggested, but not clearly proven, methods of transmission include: Intimate contact, including contact with fluids from the mouth GI tract illness (particularly when vomiting occurs) Contact with stool (fecal material) Sewage-contaminated water Although H pylori infection is common, ulcers in children are very rare, and only 5% to 10% of H pylori -infected adults develop ulcers

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However, nicotine was also found on 95% of children in protected spaces

This may represent an underlying path ultimately leading to lung damage induced by the inhalation of iron-rich ENDS aerosols