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Whitmer also asked the state health department to make recommendations on regulating e-cigarettes

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Although these marketing tactics are banned for cigarette and smokeless tobacco companies by the 1998 Master Settlement Agreement and the 2009 Family Smoking Prevention and Tobacco Control Act (put into effect due to the close association with sponsoring music, sports, and other cultural events with youth tobacco use), e-cigarette companies have been able to skirt these restrictions by claiming that their products are different than conventional cigarettes

The upper lung fields suffer from alveolar destruction and small airway diseases, while the lower lung fields bear the burden of chronic inflammation, bronchiolar fibrosis, and interstitial lung disease

Since then, current smoking prevalence has remained more or less the same