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Manufacturer puff counts are also estimates based on specific testing conditions

It identified the same 12 states as the first report, plus South Carolina, as states that had consistently ranked in the top 25% of U.S

Plain packaging, however, is not yet part of that conversation

[94] As such, adolescents were more likely to initiate vaping through flavored e-cigarettes than unflavored ones, [95] and a majority of youth who used an e-cigarette first tried a flavored e-cigarette

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This provides a better measure of commercial smuggling improves our estimates