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Inhaling smoke and vapors brings foreign substances into the body, puts acute stress on the lungs, creates long-term damage to the body, and can hurt the immune system — a bad mix at any time, and especially during a global pandemic of a respiratory disease. “What we worry about is impaired function and the risk of infection,” said Brenda Douglass, the director of Drexel University’s Doctor of Nursing Practice program [...] “We do really worry about someone who smokes cigarettes or vapes … is there a greater propensity with smoking and with vaping for COVID-19? I would think so.”