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Levels of cigarette dependence were consistently higher among non-daily smokers who vaped than those who did not but declined over time in both groups (Additional file 1: Table S3)

Two decades later, when Michael Saavedra first went through the jail as a teen, he said, fires which the men referred to as bombs had become common

According to 2018 National Youth Tobacco Survey (NYTS) data, one in five high school students and one in 20 middle school students (over 3.6 million youth) are currently using e-cigarettes or vaping - a 78% increase from 2017

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