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Please note: Many alternatives to tobacco cigarettes also contain nicotine

In 2019, more than 66% of the users reported that they used e-cigarettes because of the variety of available flavor 10 , while in 2023, nearly 89% of the youth reported using flavored e-cigarettes 8

The Federal Status of Marijuana and the Expanding Policy Gap with States , Congressional Research Service, March 6, 2023, IF12270, Although state laws do not affect the status of marijuana under federal law

middle and high school students were using e-cigarettes, marking a significant decrease from 2.13 million in 2023

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African Traditional Views on Ancestral Tobacco Smells Many African spiritual traditions use tobacco as an offering to the ancestors