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The department cites "preliminary numbers from the National Youth Tobacco Survey" (NYTS) that "show a continued rise in the disturbing rates of youth e-cigarette use." Yet those data also show that smoking by teenagers continues to fall, which undermines the claim that e-cigarettes are a gateway to the real thing and suggests that vaping is actually a substitute for smoking

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These include significant tobacco tax increases, comprehensive smoke-free laws, well-funded tobacco prevention and cessation programs, hard-hitting mass media campaigns, barrier-free health insurance coverage for tobacco cessation treatments, and laws raising the tobacco sale age to 21