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For the three main tobacco products of the time - snuff, cigars, and smoking tobacco - manufacturing was primarily done by hand until after the Civil War

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(Read full research findings from the American Heart Association here) Lung Damage: Vaping can cause lung irritation, coughing, wheezing, and shortness of breath

Other studies suggest that the positive health claims in cigarette advertising made during this period might have had an indirect negative effect on tobacco consumption by giving the impression that protection was needed, thereby reinforcing the health scare (IOM 2001)