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The National Institute on Drug Abuse earlier this month cautioned that, because it attacks the lungs, the coronavirus that causes COVID-19 could be an especially serious threat to those who smoke tobacco or marijuana or who vape. Because far more men than women smoke in China, that might explain why more men have died there, the agency said

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[107] Cadmium and lead have been found in the e-cigarette vapor at 23 times greater levels than with a nicotine inhaler

In some cases, people had also used other substances like marijuana or amphetamines