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Here are just a few of the reasons why: Most e-cigarettes deliver nicotine, which is highly addictive and can harm the developing brains of teens, kids and fetuses in women who vape while pregnant

(Header image: Smokers at a market in Lijiang, Yunnan province, 2013

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As a recent paper on e-cigarettes in the Middle East points out, studies within the region suffer from overreliance on university-based samples, the overuse of non-user samples, a lack of studies on behavior change, high variance in existing data and a lack of uniform instruments to measure e-cigarette use. Shisha is a good example of the need for cultural sensitivity in promoting smoking cessation or a switch to less risky alternatives