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More than 16 million Americans have one or more diseases caused by smoking, responsible for $170 billion in direct medical costs that CDC officials say would be saved if we could prevent youth from starting to smoke and help every person who smokes to quit. Secondhand smoke is believed to contribute to more than 40,000 deaths among nonsmoking adults and 400 infant deaths each year, per the CDC

Number of studies and reports from CDC, US Surgeon General Report 2016, World Health Organization (WHO) have also stated that ENDS are not safe for youth, young adults, pregnant women or adults who do not currently use tobacco products

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Breast milk gives long-term health benefits, even when the parent smokes

METHODS Study design Figure 1 shows the overall design of the study and provides a detailed explanation of the analysis method