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Figure 4 Number of studies analyzed that confirm each reason for EC use EC use, the consolidation of adolescent tobacco and other substance use ECs may serve as a gateway to later conventional cigarette use 81-84

Forum , 2020, vol

In the Surgeon Generals 2012 report on Preventing Tobacco Use Among Youth and Young Adults, the epidemiological research showed that adolescence and young adulthood represent[s] a time of heightened vulnerability to tobacco use and the initiation of cigarette smoking. The rationale behind increasing the age from 18 to 21 is to reduce the number of people who begin smoking (or vaping) by making it more difficult to access tobacco during the years of highest vulnerability

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Almost all of them were destined for companies based in Maicao, a city on the northeastern frontier with Venezuela that is known for smuggling

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