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As of 2019, a serious lung disease called EVALI has been identified, an English acronym meaning 'lung damage associated with the use of e-cigarettes or vaping products' It is an inflammatory condition that can range from mild respiratory symptoms to full-blown respiratory failure, requiring hospitalisation

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A Delta rep, asked for comment, only reiterated that smokeless tobacco is prohibited and was unclear about pouches and other tobacco-free products such as gum and patches.

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