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Since 2014, ENDS have been essentially the most used tobacco product amongst U.S. youth. In 2020, about three.6 million U.S. youth, including about 1 in 5 high school students and 1 in 20 middle school students, reported present (past 30 day) use of ENDS. E-cigarettes are less harmful than tobacco cigarettes when you don’t use both (dual use).
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