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Compliance remains high thanks to strong public support

Middle school students smoking of e-cigarette use also dropped from 15.1% in 2019 to state health officials characterized as a record low of 10.4% in 2023

There were no significant differences in baseline demographic and clinical characteristics between the cotinine sub-cohort and those without cotinine measurements (data not shown)

Recent reports of rapid onset changes in aortic stiffness after exposure to vape, of mice exposed to vape with nicotine developing features of chronic obstructive pulmonary disease (COPD), and the suppression of immune and inflammatory-response genes in nasal cells are examples of possible early causes for concern

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[87] According to the CDC, 67% of high school students and 49% of middle school students who used tobacco products in the past 30 days reported using a flavored tobacco product during that time