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In: State Tobacco Activities Tracking and Evaluation (STATE) System

This survey showed that more than 3.6 million middle and high school students were current (past 30 day) e-cigarette users in 2018, representing a 48% increase among middle school students and a 78% increase among high school students during the period 2017-2018

However, this is a further key consideration which needs to be addressed in the formulation of equitable and effective policy as rates of smoking remain high in disadvantaged and marginalised populations who are also likely to disproportionately bear the costs of increased enforcement activities

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In the early 17 th century a Chinese philosopher Fang Yizhi pointed out the dangers of smoking, noting that it caused scorched lungs