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RELATED: Campaign Seeks to Reduce Vaping Among Teens The symptoms of lung disease reported by patients in this outbreak include: Coughing, shortness of breath, chest pain Nausea, vomiting Diarrhea Fatigue Fever Weight loss

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To ensure correct understanding and associations of the items as well as linguistic and grammatical quality, the survey was pretested in several steps by experts from the Institute for Teachers' Health and the Institute of Occupational, Social and Environmental Medicine of the University of Mainz as well as a small sample of teachers

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Cigarette smoking is linked to 8090% of lung cancer diagnoses, corresponding to a 510 times increase in lung cancer risk for those who smoke 3,4