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Societal Implications The shift to electronic cigarettes in Japan is not just a personal lifestyle choice but reflects broader societal changes

Although nicotine itself is not considered a carcinogen, e-cigarette aerosol does contain chemicals linked to cancer, such as formaldehyde and acrolein, heavy metals, and volatile organic compounds 3-5

All of these factors have facilitated the introduction of innovative technologies and smoking alternatives, he said

doi:10.1136/tc.2010.040113