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Apart from a rising trend of female smokers, Lo said 7 per cent of secondary school students had smoked at some point in their lives

Accounting for all user fees on cigarettes and vaping products, retail fees and the tobacco settlement agreement leaves a gap of at least $296 million in annual costs attributable to smoking among adults and teens covered by Medicaid

The lawsuit accuses Juul of directly promoting its products to high school age students, including an instance where a Juul representative falsely told high school freshmen that its products were safer than cigarettes. The suit also says that Juuls advertising campaign reached teenagers who subsequently told their friends about Juul in rapid numbers. [Related: Juul to pay states $435M and stop marketing e-cigarettes to kids .] Documents from the Massachusetts Attorney Generals office state that Juul reportedly bought advertising space for their products on media targeted to young audiencesincluding Nickelodeon, Nick Jr., Cartoon Network, and Seventeen