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however, if uptake is relatively higher in socially advantaged groups, health disparities may be increased further

These increased inflammatory factors and chemokines leads to further infiltration of immune cells into the respiratory tract, resulting in dysfunctions of fibroblasts, goblet cells, and epithelial cells, ultimately leading to emphysema, mucus accumulation, inflammation, and pulmonary fibrosis [52]

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So while the findings did show a difference between vaping and traditional cigarettes, theres still a substantial increase for those using e-cigarettes compared to people that abstain from both types