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Konstantinos Farsalinos, said in a statement: "This is an indication that although nicotine was present in the liquid used (11mg/ml), it is absorbed at a lower rate compared to regular cigarette smoking." The American Heart Association says there needs to be more research into this topic and called for rigorous examination of the "long-term impact of this new technology on public health, cardiovascular disease and stroke." Related: Are Former Smokers 'Safe' After 15 Years

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Such an alarming increase may be in part due to the belief that hookah use is less harmful/addictive with higher social approval in comparison to tobacco [51, 52]

A study conducted in 6 major metropolitan areas in the US found that vape shops were where adults who use e-cigarettes mostly commonly obtained e-cigarettes (44.7%)

[29] While eighteen shows were announced initially, the residency was extended to thirty shows, ending in August 2024