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Burning a butane lighter produces nitrogen dioxide which can actually cause asphyxiation when in a confined area

When a person gets pneumonia, these sacs gets filled with pus and fluid instead of air, which makes breathing painful and limits oxygen intake
"The Real Reason Airplanes Still Have Ashtrays"

Atmospheric Chemistry and Physics

Dioxin Levels in Mainstream Smoke from Cigarettes with Different TPM Deliveries
Lift your stabilizing index finger from the paper