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Though e-cigarette makers do not make safety or health claims, many users assume that eliminating the smoke of burning tobacco also eliminates the harm

Advocacy groups, such as the American Cancer Society and the Indiana Chamber of Commerce, have long supported an increase in the tobacco tax to encourage Hoosiers to avoid or quit smoking and bring in additional state revenue

A recent study in 2013 from Fiorelli et al 7 demonstrated a high incidence of inflammatory cells in the lungs of marijuana users, which may lead to lung injury and bulla formation

"There is evidence that electronic cigarettes are an effective strategy for harm reduction so they have a place in our repertoire of strategies to deal with smoking addiction, but it's kind of a double-edged sword," Siegel says