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Some studies suggest that nicotine may reduce appetite by altering the release of certain neurotransmitters in the brain, such as dopamine and serotonin, which are involved in regulating hunger and satiety
The creation of the initiative comes as health authorities in 33 states are investigating more than 450 cases of severe respiratory illnesses associated with vaping, with many cases involving teens and young adults

doi:10.1136/bmjopen-2016-011045

To make matters worse, Human Rights Watch found that three of the four states that produce 90 percent of US tobacco (Kentucky, Virginia, and Tennessee) have failed to take sufficient measures to enforce the Occupational Safety and Health Administrations (OSHA) Field Sanitation Standard

The question on safe to smoke for one or two years might reflect low risk perception of smoking in the Indonesia setting, which is in line with a study conducted in the Virginia population 30
