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ONeal also said Montana ties Louisiana as the second-highest rate of e-cigarette use in the nation

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For example, ED visits among Hispanic Kentuckians rose from 178 in 2018 to over 1,700 in 2024, suggesting a broadening impact across demographic groups. Although less common than dependence-related visits, emergency department visits related to acute nicotine poisoning also rose in 2024, particularly among youth

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