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The immediate loss of that revenue would leave a small hole in the national budget, and, perversely, could be used to justify reduced expenditure on cessation support

If the flame becomes too large, do not remove the charred wick

Local and state public health data support this concern: Recent data show that e-cigarette use increased by 78 percent among high school students and by 48 percent among middle school students from 2017 to 2018 (CDC 2018 National Youth Tobacco Survey) As of 2018, approximately 24% of Massachusetts teens report using e-cigarettes within the past 30 days, compared to 8% who report using tobacco products

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