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Additionally, the COVID-19 pandemic has exacerbated health inequalities among vulnerable populations, closely linked to lower levels of education, inadequate knowledge, and improper preventive behaviors 27

In the study, major increases in metal concentrations were found in aerosol samples compared with e-liquid samples for lead and zinc (increases greater than 2,000 percent) and chromium, nickel, and tin (increases greater than 600 percent)

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