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As written, the guidance suggests only e-cigarettes that are under scientific review will qualify to launch without FDA authorization

[21] Prenatal exposure to tobacco smoke is associated with a higher risk of attention deficit hyperactivity disorder (ADHD) in children, though it remains unclear whether the relationship is causal or reflects shared genetic and familial factors between parent and child

For example, in California, the Stop Tobacco Access to Kids Enforcement (STAKE) Act prohibits the sale of tobacco products, including vapes, to anyone under the age of 21

As interactions between lawmakers and tobacco companies (including KT&G, South Koreas largest tobacco company) lack transparency, it is difficult to determine how the tobacco company contacted the lawmaker or what information was conveyed

In 2012 the Hawaii state legislature passed a law restricting sales of ESDs to anyone under the age of 18

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