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20 In a retrospective chart review of 48 patients with chronic obstructive pulmonary disease (COPD), including 24 daily e-cigarette users and 24 matched traditional cigarette smokers, e-cigarette users showed decreased COPD exacerbations, improved patient-reported COPD health status, and a reversal in expiratory volume decline over 24 months of follow-up

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This report also finds additional contributing causes: stigma prevents patients from seeking testing and treatment, many patients have insecure housing and finances, and some also seem to be using condoms less.6 Few understand who is at risk, and for which STD, and for whom vaccination is recommended