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smoking rates declined from 42.4% to 13.9% between 1965 and 2017, the emergence of electronic nicotine delivery systems (ENDS) has shifted many smokers to vaping including pregnant women

Robertson RM, Thomas WC, Suthar JN, Brown DV (2012) Accelerated degradation of cellulose acetate cigarette filters using controller-release acid catalysis

Stock up on oral substitutes, such as hard candy, sugarless gum, carrot sticks, coffee stirrers, straws, and toothpicks

Nicotine and metabolites, serum

E-cigarettes, although varied in style, all deliver nicotine to the user in a vapor, which can look like cigarette smoke

Csalari J, Szantai K