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The percentage of high school students who tried vape products before the age of 13 has increased by nine percent, from 13% in 2019 to 22%

At the beginning of October, several school districts across the country sued Juul for endangering students and forcing schools to divert resources to prevent nicotine addiction, the New York Times reported

Even within the electronic cigarette smoking population, the large heterogeneity of available electronic cigarette products, different nicotine concentrations and varying levels of daily exposure pose a real difficulty in ascertaining the true effect of electronic cigarettes on general and cardiovascular health

Tobacco remains a silent epidemic because societies have normalised addiction to a lethal substance and constructed narratives around personal choice that obscure systemic harm