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A chemical analysis also revealed that one herbal cigarette, filled with basil, had the highest lead concentration, despite being marketed as "chemical-free with 100 per cent natural filler for a healthy lifestyle." "That finding is important because many consumers associate nicotine-free products with reduced harm," author Vishal Verma, a research collaborator and an associate professor of environmental engineering in the US' University of Illinois, Urbana-Champaign said

This increase is likely because JUUL Labs, maker of one of the most reported ENDS brands used among youth at the time 18 , stopped the retail sale of several non-tobacco and non-menthol flavored pods such as mango, fruit, cucumber, and creme in November 2018, one month before the PATH Study wave five data collection began 27

Its encouraging in that the FDA is doing the work they need to do to protect the health of the public. Its a teachable moment, she continued

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Trading standards officers, often working alongside police with detection dogs, find stashes of fake cigarettes, tobacco and vapes in hidden compartments behind walls and under floorboards

All in all, ICMR states, "these products have a net negative impact on public health"