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The FDA wont tolerate a whole generation of young people becoming addicted to nicotine as a tradeoff for enabling adults to have unfettered access to these same products." The 2018 National Youth Tobacco Survey showed a nearly 80 percent increase to 3 million in current e-cigarette use by high-school teens compared with the prior year and a nearly 50 percent, to 570,000, increase for middle-school children

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Among adult dual-users 25 years old (n = 1560), 13.6% transitioned to no tobacco use, 71.3% cigarette mono-use, 9.0% dual-use, and 6.1% e-cigarette mono-use