A recent online poll revealed that two thirds of teenagers who vaped believed that vaping could be part of a healthy life. Youths who become nicotine dependent using a sleek device that delivers high-dose nicotine have no need or desire to switch to dirty, unhealthy combustible cigarettes. Recognizing that e-cigarettes have become an epidemic among teens, FDA Commissioner Scott Gottlieb, MD, announced a crackdown on the industry in September
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During the same period, the ASDR and ASDALYR of all substance use subtypes are projected to show declining trends, with the exception of chewing tobacco (Figure 8)
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