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This reduction in CO could have come from current smokers cutting back on their cigarette consumption (including some degree of switching to vaping), from former smokers who quit (and possibly switched to vaping), and from never or passive smokers being exposed to less secondhand smoke (due to regulations and social pressure)

36 Further studies have suggested exposure to SHS may be linked to increased risks of some types of childhood cancer, 37 some types of cancer in adulthood, 2 emphysema in adulthood, 27 impaired sense of smell, 38 and may exacerbate chronic conditions such as sickle cell disease

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They also contain metals like cadmium, zinc, chromium, and titanium which are not biodegradable