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A report published in the American Journal of Preventive Medicine in December 2019 found e-cigarette use significantly increased a persons risk of developing chronic lung diseases such as asthma, bronchitis and emphysema Jonathan Grigg, a professor of paediatric respiratory and environmental medicine, was a co-author of a paper in the Archives of Disease in Childhood in November 2018 that warned there was a risk that thousands of children would become addicted to nicotine because of the complacency of government health officials in the UK

Campaigns discouraging smoking should reinforce the images focused on risk and disgust, since those were the images that current smokers rated as most negative in valence and they were far less frequent among smokers