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Additive in ENDS containing cannabis sourced from informal or illicit sources has been linked to e-cigarette or vaping use-associated lung injury (EVALI), with 2,807 incidents leading to hospitalisations or death in the US, highlighting the dangers of unregulated markets

For example, a cross-sectional study of young people found that e-cigarette users had significantly reduced spirometric lung volumes: average FEV was only about 3.0 liters in vapers versus 3.5 liters in non-smokers, and mean FVC was 4.0 L in vapers versus 4.6 L in non-users (76) (Figure 3)

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And Black men and women are much less likely than white Americans to be diagnosed with lung cancer at an earlier, potentially more treatable stage