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Critical appraisal was conducted through detailed reading of the full text and focused on the following considerations: (1) possible violations of the correct temporal sequence, e.g., if respiratory symptoms or conditions could have been present from baseline and therefore co-occurred or preceded EC use

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However, a national outbreak in 2019 of electronic-cigarette, or vaping, product use-associated lung injury (EVALI) that led to 2,807 hospitalizations and 68 deaths as of February 20201 suggests that while the harms may be different, they can be no less deadly

The survey highlighted that in France, 17 per cent of teens were using single-use devices, then shifted to other products