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This observation is consistent with prior studies showing that cigarette smoke exposure leads to a decrease in the number or length of microvilli in airway epithelia 25,26

[1] According to a 2018 report, given their potential harmful health effects, and the possibility that these products serve as a gateway to the use of more harmful products, it is important for national authorities and scientists to closely monitor product development of new tobacco and tobacco-related products

[134] [135] Following several randomised trials, including the CAPE-COD study [136] , ESCAPe [137] and REMAP-CAP steroid arm [138] a meta-analysis was conducted which found evidence of benefit of corticosteroids in severe community-acquired pneumonia [139]

While more research is needed, its clear that vaping and e-cigarettes are far from harmless

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