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In Japan, where the product has been most successful and faces no competition from e-cigarettes, youth use is minimal

But if you know the types of leaves used in the construction of the cigar, you can make inferences on the nicotine levels

doi: 10.1056/NEJMsa1502403 [DOI] [PMC free article] [PubMed] [Google Scholar] 10.Hatsukami DK, Kotlyar M, Hertsgaard LA, et al

He and colleagues found that the risks to users and passive bystanders are far less than those posed by cigarette smoke and that while electronic cigarettes contain a few of the toxins seen in tobacco smoke, these are seen at much lower levels

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The prospective health implications posed by the consumption of electronic cigarettes were addressed in a teleconference at national Center for Disease Control and prevention, on July 22, 2009 between the representatives of various expert organizations including, FDA, American Academy of Pediatrics Tobacco Consortium, University of Southern Californias Institute for Global Health, and Office on Smoking and Health