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Casey Sommerfeld, the patient's pediatrician and lead author of the study, told CNN: "there are a few case reports involving adults that developed respiratory distress following electronic cigarette use." Ilona Jaspers, a professor in pediatrics, microbiology and immunology at the University of North Carolina at Chapel Hill, told CNN experts do not know the long-term health effects of exposure to e-cigarettes, and whether the potential health effects are more pronounced in teenagers.

In Africa, Tunisia was the only country with identified hotspots, with 1.26 in El Menchia [75] and 1.29 in Monastir [76] in 2023 and 2021, respectively

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