how does cigarette smoke affect the environment smoking contributes to air pollution – Eoleaf The Environmental Impact of Tobacco:

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Nicotine doesnt directly cause lung cancer, but it can hook you on smoking or vaping

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Cigarettes and e-cigarettes also both suppress respiratory immunity, making a user more likely to get sick Over 70% of e-cigarette liquids contain diacetyl, which has been shown to reduce lung capacity and cause irreversible respiratory diseases like bronchiolitis obliterans (popcorn lung)