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Surgeon General, in addition to nicotine, e-cigarettes can contain harmful and potentially harmful ingredients, including: ultrafine particles that can be inhaled deep into the lungs flavorants such as diacetyl, a chemical linked to serious lung disease volatile organic compounds heavy metals, such as nickel, tin, and lead The Surgeon General reports that, the health effects and potentially harmful doses of heated and aerosolized constituents of e-cigarette liquidsincluding solvents, flavorants, and toxicantsare not completely understood

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Strengthen global tobacco surveillance systems to monitor the global tobacco epidemic Increase country and regional capacity to plan, develop, implement, and evaluate comprehensive tobacco control efforts by translating data to action Advance research to promote effective tobacco control programs Strengthen partnerships to leverage resources for efficient and sustainable tobacco control initiatives The Global Tobacco Surveillance System Data (GTSSData) is a Web-based application that houses and displays data from four tobacco-related surveys conducted around the world

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