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One study demonstrated that during a 90 minute ad lib session, the maximum C max among experienced e-cigarette users using their own device (average nicotine concentration 9.4 mg/ml) was 12.8 ng/ml (comparable to a tobacco cigarette), and that the topography of e-cigarette users differed from cigarettes [57]

Professor Stephen Holgate of the University of Southampton who was not involved in the study said: " It has been known for some time that in those genetically susceptible to emphysema, cigarette smoking and air pollution accelerate their development of emphysema." He added: "This important study adds to the massive evidence base that air pollution, in this case specifically ozone, is harming people, especially those who are vulnerable with co-existent lung disease." Patient picks for Pollution General health and lifestyle How air pollution affects your health UK Prime Minister, Rishi Sunak, has delayed banning the sale of new petrol and diesel cars from 2030 to 2035