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This is the first paper that actually shows that the concentrations in the aerosol that people are inhaling are actually comparable to limits that are health-based limits, she adds, noting that additional research involving the same 56 vapors found levels of nickel and chromium in people's urine and saliva related to levels measured in the vapors confirming that the e-cigarette users were exposed to the metals. E-cigarettes are battery-powered devices that use a metal coil to heat up liquid nicotine and convert it into a mist, or vapor, that users inhale

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Microaspiration of contaminated secretions can infect the lower airways and cause pneumonia