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(Reports of the Surgeon General)

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In the adult population 14.2 percent have a bachelor's degree or higher, 30.4 percent have some form of secondary qualification as their highest qualification and 22.4 percent have no formal qualification

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A 2014 study by the CDC revealed a significant uptick in nicotine vape pen-related calls to poison control centers the number of calls increased from one per month in September 2010 to 215 per month in February 2014, while the number of calls involving cigarettes remained steady over that time