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Similar to other studies, the concordance between serum cotinine and self-report of tobacco exposure was not strong, suggesting that smoke exposure was likely under-reported [27]

On Friday nights, I'd hit the club with my girlfriends, cat-eyed and nude lipped and I'd position myself near the dance floor, cigarette box laid out on the table

This appears even more true when those liquids are flavored.14 Between 2010 and 2019, there have been 35 documented cases in which young people experienced seizures not long after using e-cigarettes.15 That may not seem like a lot against the background of three million active users in US high schools, but there are likely many more such cases that go unreported

In the most recent survey waves, from 2019 to 2020, the only significant change observed within smoking status groups was a significant increase in the proportion of ever users who were former smokers in 2020