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			 E-cigarettes, including e-pens, e-pipes, e-hookah and e-cigars, 
			are known collectively as electronic nicotine delivery systems 
			(ENDS). According to the FDA, e-cigarettes are devices that allow 
			users to inhale an aerosol (vapor) containing nicotine or other 
			substances. Unlike traditional cigarettes, e-cigarettes generally 
			are battery-operated and use a heating element to heat e-liquid from 
			a refillable cartridge, releasing a chemical-filled aerosol. 
 The main component of e-cigarettes is the e-liquid contained in 
			cartridges. To create an e-liquid, nicotine is extracted from 
			tobacco and mixed with a base (usually propylene glycol), and may 
			also include flavorings, colorings and other chemicals.
 
 Because there is no government oversight of these products, nearly 
			500 brands and 7,700 flavors of e-cigarettes are on the market, all 
			without an FDA evaluation determining what’s in them. So there is no 
			way for anyone—healthcare professionals or consumers—to know what 
			chemicals are contained in e-liquids, or how e-cigarette use might 
			affect health, whether in the short term or in the long run.
 
 Early studies show that e-cigarettes contain nicotine and also may 
			have other harmful chemicals, including carcinogens.
 
			
			 Aside from concerns about e-cigarette use and emissions alone, calls 
			to the nation’s poison centers related to e-cigarette exposure 
			poisonings are rapidly increasing, according to data released by the 
			Centers for Disease Control and Prevention (CDC). One study found 
			that while most calls involving e-cigarette liquid poisoning came 
			from accidental ingestion of the e-cigarette or its liquid, about 
			one-sixth of the calls related to someone inhaling these items. 
			Exposure through the eye and the skin were also reported. 
 Large doses of nicotine have a potential for poisoning, with 
			symptoms beginning with nausea and vomiting in cases of acute 
			toxicity and progressing to seizures and respiratory depression in 
			cases of severe nicotine poisoning. This is particularly true in 
			children.
 
 Tobacco smoke is enormously harmful to your health. There’s no safe 
			way to smoke. Replacing your cigarette with a cigar, pipe, or hookah 
			won’t help you avoid the health risks associated with tobacco 
			products.
 
 When using a hookah pipe, you’re likely to inhale more smoke than 
			you would from a cigarette. Hookah smoke has many toxic compounds 
			and exposes you to more carbon monoxide than cigarettes do. Hookahs 
			also produce more secondhand smoke.
 
 No matter how you smoke it, tobacco is dangerous to your health and 
			affects your entire body. Smoking can affect your central nervous 
			system by allowing mood-altering drug called nicotine to reach your 
			brain in mere seconds. Because it’s a central nervous system 
			stimulant, it makes you feel more energized for a little while. As 
			that effect subsides, you feel tired and crave more.
 
 Nicotine is habit forming. When you inhale smoke, you’re taking in 
			substances that can damage your lungs, affecting you respiratory 
			system. Over time, your lungs lose their ability to filter harmful 
			chemicals. Coughing can’t clear out the toxins sufficiently, so 
			these toxins get trapped in the lungs.
 
			
			 
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 Smokers have a higher risk of respiratory infections, colds, and flu. 
			Some of the more obvious signs of smoking involve the skin. The 
			substances in tobacco smoke actually change the structure of your 
			skin. Smoking causes skin discoloration, wrinkles, and premature 
			aging. Your fingernails and the skin on your fingers may have yellow 
			staining from holding cigarettes. Smokers usually develop yellow or 
			brown stains on their teeth. Hair holds on to the smell of tobacco 
			long after you put your cigarette out. 
 Smokers are at great risk of developing oral problems. Tobacco use 
			can cause gum inflammation (gingivitis) or infection (periodontitis). 
			These problems can lead to tooth decay, tooth loss, and bad breath.
 
 Smoking also increases risk of cancer of the mouth, throat, larynx, 
			and esophagus. Smokers have higher rates of kidney cancer and 
			pancreatic cancer. Even cigar smokers who don’t inhale are at 
			increased risk of mouth cancer.
 
 Smoking also has an effect on insulin, making it more likely that 
			you’ll develop insulin resistance. That puts you at increased risk 
			of type 2 diabetes. When it comes to diabetes, smokers tend to 
			develop complications at a faster rate than nonsmokers. Women who 
			smoke may experience menopause at an earlier age than nonsmoking 
			women.
 
 Smoking increases a woman’s risk of cervical cancer.
 
 Smokers experience more complications of pregnancy, including 
			miscarriage, problems with the placenta, and premature delivery.
 
 
			
			 
			Pregnant mothers who are exposed to secondhand smoke are also more 
			likely to have a baby with low birth weight. Babies born to mothers 
			who smoke while pregnant are at greater risk of low birth weight, 
			birth defects, and sudden infant death syndrome (SIDS). Newborns who 
			breathe secondhand smoke suffer more ear infections and asthma 
			attacks.
 
 Smoking is the leading preventable cause of death in the United 
			States. If you or someone you know needs information or help 
			quitting, you can call the Illinois Tobacco Quit line at 
			1-866-784-8937.
 
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