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Similarly, during influenza A virus infection, e-cigaretteexposed mice showed higher viral titers, worsened illness severity, and increased mortality ( These findings suggest that e-cigarette aerosols weaken host immune defenses, increasing vulnerability to both bacterial and viral pathogensan especially concerning effect in children and adolescents, whose immune systems are still maturing ( 3.2.4 Effects on mental health and neurodevelopment Based on the body of experimental, clinical, and epidemiological evidence examined in this review, the effects of e-cigarettes appear to extend beyond physical health, with significant implications for adolescent brain development and mental health

They may also check your ears and nose to rule out related infections and feel the sides of your neck to detect swollen lymph nodes, which can indicate an immune response to infection

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Smoke flows in from the cigarette and expands in the filter which has a vacuum effect