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Dr Haaker said the more people seemed to smoke, the less able they were to inhibit their fear response

The nicotine present in most e-cigarette products disrupts neural development, affecting attention, learning, and impulse control, which can lead to lasting changes in brain function, increasing the risk of lifelong addiction and exacerbating mental health issues, the physicians say

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The impact of comprehensive state tobacco control programs is discussed in more detail in Chapter 5 of this report

Those developing countries are especially important as smoking habits weaken in Europe and the U.S., where pressure from health groups is stronger, analysts say