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Additionally, vaping during pregnancy may have adverse effects on prenatal development and "poses risks to bystanders." This supports the global health organization's criticism of tobacco as "profiting from the destruction of health." Ruediger Krech, WHO Director for Health Promotion, warned that there is an "alarming" rise of e-cigarette usage among children and youngsters "with rates exceeding adult use in many countries." Forbes reported that Juul Labs, an e-cigarette manufacturer, settled in April for $462 million to address accusations that it had distributed its products to underage consumers in six states across the United States

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Finally, we found that 11 brands stated their nicotine was synthetically derived, and 4 stated their nicotine was tobacco-derived