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reported that EC users had higher odds of self-reported COPD compared to individuals who never used ECs (OR = 1.44, 95% CI 1.421.46) 43

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[ 1 , 2 ] Health warnings have the potential to counter this knowledge gap and encourage cessation, whether they are presented in antismoking ads [10] or in graphic warnings on packages [ 3 ] A growing evidence base supports the implementation of health warnings, with strong evidence supporting the use of graphic imagery over text-only messages