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Data were collected from medical records, imaging studies, and bronchoalveolar lavage (BAL) findings

The study included data from 323,826 adults, comprising 25 million person-years (PYs) at risk

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Figure 1 3.2.1 Respiratory effects Based on the experimental and epidemiological studies reviewed ( Exposure to second-hand smokewhether from traditional or e-cigarettesfurther increases the risk of developing asthma, particularly when both parents smoke ( A systematic review and meta-analysis involving over 900,000 participants reported that prenatal vaping exposure increases the likelihood of adverse neonatal outcomes by 53%, including low birth weight (OR 1.56