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In 2019, Massachusetts became the first state to enact a comprehensive ban on the sale of all flavored tobacco products, including menthol cigarettes, except in smoking bars, such as cigar bars and hookah lounges, where it is allowed for on-site consumption

While you cant get strep throat from smoking directly, compromised mucosal barriers increase bacterial susceptibility

Fever Seek immediate medical attention if: A person of any age with a fever is very irritable or lethargic (difficult to wake up or keep awake), is vomiting over and over, and may have a stiff neck or an extensive rash that does not go away when you press on the spots (that may look like small bruises)

Substances that can be found in e-cigarettes include diacetyl or acetyl propionyl, which is associated with the irreversible and disabling lung disease called bronchiolitis obliterans