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In reports, some unlicensed vape shops selling illegal cartridges not tested or approved for sale were found to contain some mixture of pesticides exceeding legal amounts, mainly myclobutanil, a fungicide that, when burned, can turn into hydrogen cyanide

Cooking with solid fuels like wood and coal releases toxic fumes, while household products such as air fresheners, cleaning sprays, and paints contain harmful chemicals that can affect lung health

This suggests that smoking behavior in Gambela is driven more by other factors such as those mentioned above in the discussion of the baseline results, rather than by khat chewing practices