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The answer is very simple: nicotine is extremely addictive and it is hard to break the habit of smoking

For years, Adnan and Ahmed had been neighbors in Zumar, a village outside Mosul

The smoking urge was assessed by the German version of the Questionnaire of Smoking Urges (QSU-G [39], aggression by the Aggression Questionnaire (AQ, [40,41]), impulsiveness by the Barratt Impulsiveness Scale (BIS-11 [42], intelligence by a German verbal intelligence test (Wortschatztest (WST) [43]), depressive symptoms by the Beck Depression Inventory (BDI-II [44]) and nicotine dependence by The Fagerstrm Test of Nicotine Dependence (FTND [45,46])

Besides nicotine, e-cigarettes contain other harmful and carcinogenic chemicals such as propylene glycol, flavoring agents such as diacetyl (which has been linked to lung disease), heavy metals, and other volatile compounds

As early as 1961, the president of the American Cancer Society, along with presidents of the National Tuberculosis Association (later the American Lung Association) and others, issued a letter urging President Kennedy to create a commission that would investigate the health hazards of smoking