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As rates of e-commerce have been shown to have increased during the pandemic 13,14,33 , we expected similar findings here, though the magnitude is unclear due to the nature of this study

Some racial/ethnic groups, especially among African American, Hispanic, and multiracial youth, are at higher risk for COVID-19, with smoking and vaping other contributing factors include living condition where social distancing is a challenge, economic stress, work environments where working from home is less feasible is further complicated by less access to health care ( The strengths of this mini-review are that, for the first time, it highlights the possibility that among MIS-C adolescents, vaping might be a risk factor for respiratory symptoms, even though the literature on MIS-C does not report smoking history

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Chem Res Toxicol 29:318 Taylor M, Thorne D, Carr T, Breheny D, Walker P, Proctor C, Gaa M (2018) Assessment of novel tobacco heating product THP1.0

Another major limitation is that, due to the novelty of e-cigarettes and their popularity mainly among young adults, there is a lack of long-term population-level data on cancer risk

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