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Youth use of any tobacco product, including e-cigarettes, is unsafe. Around a third of the students were also using more than two tobacco products

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"While teen smokers of currently smoking parents, particularly if the parents report dependence, are the most likely to smoke, children of former smokers are still more likely to have smoked than children of parents who never smoked, confirming past studies," Mike Vuolo of the sociology department at The Ohio State University in Columbus told Reuters Health by email

In countries receiving direct funding from PEPFAR or other United States agencies, many harm reduction services closed overnight, or were forced to operate at significantly reduced capacity, with community-led services hardest hit