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The composition of the aerosol depends on the ingredients in the liquid, the electrical characteristics of the heating element, the temperature reached, and the characteristics of the wick.[10] E-cigarette liquids generally consist of glycerol (vegetable glycerin), propylene glycol, and nicotine.[10] In Layden and colleagues case series of persons who vaped and developed EVALI, 60% used a combination of THC and nicotine, 27% used THC alone, and 11% used nicotine alone.[5] Vaping fluids containing THC have been formulated with oils, such as vitamin E acetate, whereas most nicotine-only products are mixed with propylene glycol and glycerin.[11,12] Vitamin E has been implicated in the bronchoalveolar-lavage fluid in EVALI patients.[11] Flavoring agents such as diacetyl, which is commonly found in e-fluids containing nicotine, have been shown to cause bronchiolitis obliterans and other severe respiratory diseases in exposed plant workers.[13] However, even though several large cohort studies were published in 2019, no single constituent was common to all cases

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Many times the second or third-hand smoke that families are exposed to the worst occurs in family cars where a household member is smoking