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FIGURE 1 Last but not least, e-cigarettes aerosols may contain heavy metals (such as copper, lead, and cadmium), which are known to cause respiratory distress and diseases ( Enforcement on e-Cigarette Regulations In August 2018, the FDA declared e-cigarette use in youth an epidemic ( Conclusion In summary, we propose that with the recognition of both established and emerging risk factors for COPD, more stringent goals should be set to reduce risk of COPD development by prompting smoking cessation, eliminating all types of environmental pollutions/exposures, strategically preventing declines in pulmonary function in men and women according to their smoking status and indoor environmental exposure, specifically decreasing levels of ambient PM 2

Commonly used air filters fail to eliminate secondhand smoke induced oxidative stress and inflammatory responses

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Symptoms and Diagnosis The diagnosis of COPD often involves lung function tests, chest X-rays, and multiple assessments of symptoms