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No, says Clive Bates, former director of Action on Smoking and Health, a tobacco control group in the U.K., but the aggregate effect at the population level appears to be negligible given the reduction in smoking initiation during the period of vapings ascendance. And yet the CDC, major tobacco control activists, health advocates, and some researchers continue to sound the alarm about a gateway effect

Cancers 6:708722 Herman M, Tarran R (2020) E-cigarettes, nicotine, the lung and the brain: multi-level cascading pathophysiology

At the middle school level, there were 6 total incidents in the 2017-18 school year vs