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has been heard."[153] [151] "Indian Sales of Tobacco Face New Pressure," New York Times , [152] Austan Goolsbee, Michael Lovenheim, and Joel Slemrod, "Playing with Fire: Cigarettes, Taxes, and Competition from the Internet," University of Michigan Office of Tax Policy Research, August 29, 2007

Now, there is a concerning trend of rising oral cancer in young smokers and vape users aged 25 -45 years

In 2023, 90.3% of high school students and 87.1% of middle school students who used e-cigarettes in the past month reported using a flavored e-cigarette during that time, making e-cigarettes a growing option for first-time and ongoing tobacco use

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