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[I]ts almost certain that using them will be safer than continuing to use cigarettes, she said, although she noted that we also dont know that theyre harmless. The big concern, and I share this concern, is the long-term effect of using electronic cigarettes, Goniewicz said

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According to the US National Youth Tobacco survey, one of the most comprehensive national surveys that collects data on nicotine consumption annually, the proportion of high-school students who have used an ENDS device at least once shot up to 27.5% in 2019, as compared to only 12% in 2017