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The increase in the pro-inflammatory cytokines occurs in both adolescents as well as adults, however, the increase in inflammatory cytokines in adolescents is significantly higher than that in adults (101, 154) (Figure 2)

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Nationally, adult e-cigarette use prevalence was 7.7%.1 In 2022, 7.4% of adults in Kentucky used smokeless tobacco every day or some days

One policy option is to gradually phase out the legal sale of smoked tobacco products as the population ages by making it illegal to sell tobacco to anyone born after a certain year