They calculated tobacco had caused more than 41,000 deaths in the five low- and middle-income countries, and cost nearly $4.3bn (3.4bn) in medical expenses, lost productivity and informal caregiving
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But even e-cigarettes labeled as being nicotine free may be a risk, El Shahawy said: Basic studies have looked at nicotine free e-cigarettes, and they will find traces of nicotine in them. Another issue is nicotine delivery, El Shahawy explained, as the amount of nicotine actually drawn into the body can differ depending on the delivery mechanism