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Washington state Health Secretary John Wiesman told lawmakers his departments Tobacco 21 proposal is the single most important step the state can take to save lives

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[L 2013, c 227, 3] Electronic smoking device means any product that can be used to aerosolize and deliver nicotine or other substances to the person inhaling from the device, including but not limited to an electronic cigarette, electronic cigar, electronic cigarillo, or electronic pipe, and any cartridge or other component of the device or related product.[/tab] [tab]A person who owns, manages, operates, or otherwise controls any place or facility designated by this chapter and fails to comply with this chapter shall be guilty of a violation and fined per HRS 328J-12: Not more than $100 for a first violation

A systematic review and meta-analysis published in 2022 revealed that children and adolescents exposed to SHS exhibited significantly higher levels of GI compared to unexposed (SMD = 1.03, 95% CI = 0.171.89), but no difference was observed for PD (SMD = 0.34, 95% CI = 0.140.82), with overall very low certainty on evidence (84)