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The Surgeon General isnt the first to take loneliness seriously, or indeed to compare it to smoking: in 2018, Theresa Mays government released a report on their strategy for dealing with loneliness

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In its comprehensive review, the US National Academies of Science, Engineering, and Medicine stated there is conclusive evidence that in addition to nicotine, most e-cigarette products contain and emit numerous potentially toxic substances and that potential exposure to these toxic substances is highly variable given the range of product characteristics and how e-cigarette devices are used [ 13 ]