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It stays effective in these settings because it does not depend on open air or fixed locations to deliver relief.

Chart: Most of the world's major cities routinely exceed World Health Organization (WHO) air pollution guidelines, though progress is being made: you can see that the 2022 figures (green) show a marked improvement on the 2016 ones (orange) in almost every case

Other researchers agree that e-cigarettes might help some people quit, but at a population level, converting millions of smokers into vapers still addicted to nicotine might not lead to the cleaner, greener, healthier world implied by e-cigarette manufacturers

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