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Substance misuse is positively correlated with poor mental health, which also contributes to the increase in death rates from 2019 to 2021

In fact, not only are there long-term disease risks from WTS68 ,85 ,86 but there are immediate, short-term risks as well: few users and non-users are likely aware that WTS can cause acute CO intoxication.67 ,118121 An illusion of safety may arise when misperceptions about short-term and long-term health risks are coupled with lack of clarity regarding dependence

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This makes them perfect to tobacco users desiring an option close to tobacco cigarettes in terms of feel and smoke density