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The Campaign for Tobacco-Free Kids in 2011 accused Reynolds American the second largest tobacco company in the U.S

On the other hand, in a comparative study of mice subjected to either lab air, e-cigarette aerosol or cigarette smoke (CS) for 3 days (6 h-exposure per day), those exposed to e-cigarette aerosols showed significant increases in interleukin (IL)-6 but normal lung parenchyma with no evidence of apoptotic activity or elevations in IL-1 or tumour necrosis factor- (TNF) [22]

Unlike genuine Double Happiness cigarettes, fake versions are produced without quality control or health oversight

Still, the question remains