e cigarette pregnancy England paying pregnant smokers to switch to e-cigs while evidence of damage to developing fetuses grows – Stanton Glantz blog Are E-Cigarettes Safe During Pregnancy?

As the rate of smoking increases, so does the rate of lung cancer deaths, although the effects of smoking on lung cancer deaths can take up to 20 years to manifest themselves, as shown in Figure 13.6.3

Research has demonstrated that diminished levels of testosterone can lead to a range of adverse health outcomes, including sexual dysfunction, reduced energy and muscle mass, mood disorders, alterations in bone mineral density, cardiovascular complications, depression, diminished sexual desire, erectile dysfunction, decreased ejaculatory volume, and loss of body and facial hair 1,2,3,4

These are Virginia, Maryland, Georgia, North Carolina, South Carolina and Kentucky

This trend of using both cigarettes and vapes is common among young adults, suggesting, says the report, a complex relationship between the two