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Both cigarettes and e-cigarettes contain nicotine, a highly addictive substance that makes it difficult for users to quit

Smoking any plant material can irritate the lungs due to combustion byproducts

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Our long-standing science partnership between the University of Washington and Downtown Emergency Service Center (DESC) showed that providing health counseling, which included the above information paired with the provision of e-cigarettes, was an effective combination for heavy smokers experiencing homelessness, a very vulnerable, high-utilizing, high-cost, heavy-smoking population

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