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Smokers are also more likely to get them from a newsagent, corner shop or off-license (39% vs 24% of vapers) or from a petrol station or garage (13% vs 6% of vapers)

The proposal under discussion in the regional parliament aims to include the products in the new version of the Hesse Act on the Protection from Passive Smoking (Hessisches Nichtraucherschutzgesetz, HessNRSG)

The system has three main components: a Marlboro-branded tobacco unit ( which looks like a mini cigarette), the IQOS holder (which looks like an e-cigarette), and a charger (which looks like an iPod)

Although bronchodilators can improve FEV1 and enhance drug delivery, the inflammation and obstruction caused by vaping reduces these benefits, leading to poorer treatment outcomes (Labiris and Dolovich 2003)