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Third, no attempt was made to distinguish between use or advertising of nicotine and non-nicotine e-cigarettes due to the mis-labelling of these products to evade regulatory restrictions and therefore inability of vapers to be certain of the nature of the products they are using 36

These include polycyclic aromatic hydrocarbons (PAH), NNK, volatiles such as 1,3-butadiene and ethylene oxide, metals such as cadmium, and the radioactive compound 210 Po

In the north-eastern states, patterns differ by state, with chewing tobacco more common in Assam, Arunachal Pradesh and Manipur, while smoking is more prevalent in Meghalaya and Mizoram

In the future, similar to ambient air pollution exposure, wildfire smoke exposure may be screened for based on address of residence for estimation of LCNS risk