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PMI spun off from Philip Morris USA and its parent Altria in 2008 and claims to have never sold a cigarette in the United States, although it does sell them in 180 countries and controls the Marlboro brand abroad

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Furthermore, the impacts of third-hand residuals inhaled by pregnant mothers also need to be considered which may negatively impact brain development in growing foetuses and later cognitive function after birth, given the rising rate of e-cigarette use among young people globally and the known adverse effects on offspring's lung health (Donovan et al., 2024)