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4 Respiratory System Smoke inhalation decreases cilia movement in the airway and lungs, leading to ineffective clearing of debris and secretions and overall increased risks of postoperative pneumonia (odds ratio 1.77) and respiratory failure (odds ratio 1.67) (Table 1)

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This is because the Family Smoking Prevention and Tobacco Control Act of 2009 gave the Food and Drug Administration the power to regulate the tobacco industry, but e-cigarettes along with other tobacco-related merchandise such as cigars and nicotine gels were left out