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It attacks the body immediately, spiking asthma cases with increased ambulance runs within hours, swamps emergency rooms in a day or so with people suffering from heart attacks and other cardiovascular and lung issues, as well as mental health issues, doctors and scientists told The Associated Press

Instead of using an e-liquid like Juul or other e-cigarettes, new heat-not-burn devices, or HNB, such as Philip Morris IQOS heating systems smolder tobacco leaf at high temperatures and use vaping-type chemicals to turn nicotine into a vapor that users inhale