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Though vaping exposes the us er to fewer toxic substances than smoking, it is not harmless: the aerosol inhaled and exhaled during vaping may contain nicotine, heavy metals, and carcinogens.Encouragingly the levels of carcinogens and toxins in e-cigarettes are much lower than in cigarettes, and short-term studies suggest that smokers who switch to vaping do experience reduced exposure to carcinogens

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Recommendation #1: To ensure that its staff monitor whether its contractors use Proposition 56 funding in accordance with the requirements in state law, Public Health should establish formal policies and procedures for the Oral Health Program (OHP) for this purpose by June 2025

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