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A recent comprehensive meta-analysis reported that sperm counts, whether measured as sperm count or total sperm count, declined significantly among men from North America, Europe, and Australia during 19732011, with a 5060% decline among men unselected by fertility, with no evidence of a leveling off in recent years

Espinoza-Derout J, Hasan KM, Shao XM, Jordan MC, Sims C, Lee DL, Sinha S, Simmons Z, Mtume N, Liu Y, Roos KP, Sinha-Hikim AP, Friedman TC (2019) Chronic intermittent electronic cigarette exposure induces cardiac dysfunction and atherosclerosis in apolipoprotein-E knockout mice