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Similarly, the eFTND score was higher by 0.95 units ( = 0.95, 95% CI 0.341.56, p = 0.003) among persons who reported dual product use compared to persons who reported exclusively e-cigarettes use

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This paper does however highlight that e-cigarettes are not risk-free, and so we need additional studies to uncover their potential longer-term impacts on human health

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This evidence highlights an urgent public health imperative for more robust regulatory standards at all levels of government to stop the youth vaping epidemic in its tracks. This study provides more evidence that e-cigarettes are harmful to the lungs and that the US FDA needs to provide stronger public health protections from these products including removing all flavored products from the marketplace, said Albert Rizzo, MD, chief medical officer for the American Lung Association