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In an editorial, the society's Tobacco Control Committee stated that current health policies are based on well-meaning but incorrect or undocumented claims or assumptions: "Evidence on the safety and the effectiveness of alternative nicotine delivery products as a smoking cessation tool is still lacking, while use of nicotine-containing products is spreading to non-smokers, which is most alarming." E-cigarettes are harmful, they cause nicotine addiction and can never substitute for evidence-based smoking cessation tools

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Furthermore, smoking may also result in direct damage to fetal genetic material 6 , impaired lung development 7 , acceleration of fetal heart rate and a reduction in fetal breathing movement

In the lungs, oxidative stress and inflammation from smoking are central in COPD pathogenesis (Zhang et al