I doubt that the smoke levels in New Jersey parks were anything like the levels that are being experienced by the tens of thousands of the state's casino workers.

In fact, in a by Flouris et al., the investigators found that real cigarettes, but not the fake ones, had a significant detrimental effect on pulmonary function, measured by spirometry. This study documents that while active smoking has immediate, clinically meaningful effects in reducing lung function, electronic cigarettes do not.

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