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Introduction The use of e-cigarettes has become common among youths and there are concerns that widespread use may lead to future epidemic.13 Subsequently, the popularity and use of e-cigarettes have increased over the years.4 E-cigarettes and other battery-powered vaporisers were first launched in China, 2003 and later on entered the US market in 2007.5 Surprisingly, during 2016, an estimated 54.6% of the e-cigarette users were also conventional cigarette smokers among US adults.6 The use of e-cigarettes has evolved as a means of reducing the harmful effects of smoking while still delivering nicotine

Joe Garagiola, who quit, warned about chewing tobacco: "I tell these guys, 'You may not like what I say, but with lung cancer you die of lung cancer,'"

Determining the Depth of the Problem Initiated in partnership with the World Health Organization (WHO), the U.S

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Fiore MC, Bailey WC, Cohen SJ, et al