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The 2018 National Youth Tobacco Survey data showed that past 30-day smoking prevalence among high school students was 8.1 percent, representing 1.2 million young people, of which 23.1 percent were frequent smokers (defined as cigarette use on 20 or more of the past 30 days) (Ref

This development occurs amidst a rapid expansion of the previously unregulated synthetic nicotine market, directly resulting in widespread fears of mass store closures as retailers struggle to meet new, stringent licensing requirements

There is a clear pattern - the young have changed the way they behave

This is the strongest increase in the past decade, following a three-year decline

Some population data indicate a majority of smokers who try e-cigarettes continue smoking combustibles long-term rather than fully switching, highlighting concerns about dual use

If you usually smoke a lighter blend, it will feel noticeably stronger at first