Data collectors followed a standardized protocol 11 , systematically purchasing unique cigarette packs from four types of retailers: independent grocers, tobacco specialty shops, supermarkets, and hypermarkets
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That distinction means pouch users are less likely to get addicted to the product than are people who smoke cigarettes or vape much as people who chew coca leaves are less likely to get addicted than people who smoke crack cocaine, says Jonathan Foulds, a smoking cessation researcher at Pennsylvania State Universitys Cancer Institute
Lancet (2016) 388:1545602
Law enforcement is well aware that vape pens are frequently altered and filled with illegal substances
Davis, MD (1924-2013), Chief Medical Examiner, Dade County, Florida, who first proposed including cigarette smoking as a cause of death on death certificates in 1971