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However, given Massachusetts already extremely low rates of youth smoking and the unintended consequences stemming from the states recent ban on flavored tobacco products, S.1848 should raise concern that the state will enlarge the already substantial illicit tobacco trade, push sales and tax revenue to other jurisdictions, and punish premium cigar stores and lounges that have almost no appeal to youth

A metanalysis by Broadfield (2020) found several relevant professional bodies have been advocating for vaping as an alternative to conventional tobacco cigarette smoking during pregnancy, including suggestions of an e-cigarette starter park to promote cessation through e-cigarette use in pregnancy being suggested in NICE guidelines as early as 2018

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