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To this end, a recent pilot study aiming to clarify the differences (if present) between e-cigarette and e-hookah reported the following: (1) 94% of e-hookah are disposable compared to only 40% of e-cigarettes, (2) the majority of e-hookahs came with flavors compared to e-cigarettes, and (3) 91.7% of e-hookah were labeled nicotine free relative to 5.9% of e-cigarettes, which taken together supports the notion that the purpose of e-hookah is social/recreational in nature [202]

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The classical genital lesion is termed a syphilitic chancre and is described as a single, non-tender, painless ulcer that usually does not bleed on touch

In terms of methodology, past studies that have measured cigarette butt pollution levels relied on one-of-a-kind observational approaches that are limited to a small number of sites or streets and are unsuitable for collecting wide areas [23]

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