what's the number of times the letter "e" appears in:
the use of e-cigarettes began to increase in 2014 and has spiraled sharply upward since then.  although many of these lung problems and deaths have been associated with unregulated e-liquids containing thc (the active chemical in marijuana) and vitamin e acetate, some have also occurred in those using commercially available liquids as well. pregnant women need to keep in mind that even e-liquids that are sold commercially are not truly regulated as to nicotine level and the presence of other compounds in the liquid. when using e-cigarettes you are still exposing your developing fetus to nicotine and, as yet, unknown compounds.
because the use of e-cigarettes is a relatively new habit, no long term information is available on the effects it has on the user, particularly if those users are pregnant women. data in the last 3 years indicates that the use of e-cigarettes is associated with significant lung issues. it is unreasonable to believe that nothing will be found in legal or illegal e-cigarette devices that is not harmful to a fetus.
quitting nicotine use, regardless of how it is obtained, is a very difficult habit to break. pregnancy is often a time when a woman will make the maximum effort to quit smoking to help protect her developing baby. the use of e-cigarettes is not the answer to smoking cessation. most studies have shown that e-cigarette users actually use tobacco when the circumstances allow and e-cigarettes when they will not. pregnant women need to be honest with their doctor about their smoking habits and consider enrolling in a smoking cessation program. the incentive that the pregnancy gives will increase the success of an attempt at smoking cessation.
user
The given text has one hundred and eighty "e"s.
assistant