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Nationally, the e-cigarette use prevalence among high school students was 18%.2 In 2021, 4.8% of high school students in West Virginia used chewing tobacco, snuff or dip on at least one day in the past 30 days

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Plus, you have to consider the other chemicals that we certainly know are dangerous in cigarettes and some less dangerous ingredients in vape e-liquids, which are still in the early research stage

National Center on Addiction and Substance Abuse at Columbia University