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There are reportedly documents that show that show tobacco companies, like Phillip Morris, have been engaged with the NAACP the National Urban League and The United Negro College Fund since the 1950s

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In 2018, NAP published a review which states there is insufficient or no available evidence that vaping is associated with changes in the following functions:[21] Long-term changes in heart rate Changes in blood pressure Altered cardiac function Respiratory disease For pregnant women fetal development But since 2018, reports from the CDC has associated vaping with respiratory disease