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A biennial survey conducted by the MetroWest Health Foundation includes health data for high school students in schools in the area of Massachusetts served by MetroWestprimarily the Boston area.[7] While MetroWest publishes the region-wide data after every survey, district-specific data are only made public at the discretion of the school districts or local health boards

Health and Human Services Secretary Alex Azar said in a news release that HHS "seeks to strike the right public health balance by maintaining e-cigarettes as a potential off-ramp for adults using combustible tobacco while ensuring these products dont provide an on-ramp to nicotine addiction for our youth." The key word in that sentence is "potential." The FDA has not approved any e-cigarette product as a smoking-cessation aid, and the smokefree.gov website says, "So far, the research shows there is limited evidence that e-cigarettes are effective for helping smokers quit." Quick change surprises many Several national organizations weren't happy with the abrupt change and sent the FDA a letter Dec