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This is an alarming statistic

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References Liu S, O'Donnell J, Gladden RM, McGlone L, Chowdhury F

The additional money, which comes from CVS and its charitable foundations, in 2019 will be used to support youth smoking and e-cigarette prevention strategies and education delivered in classrooms, by clinicians and in communities across the United States. There are an estimated 3.6 million kids in middle schools and high schools using e-cigarettes, CVS said, citing the 2018 National Youth Tobacco Survey

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Moreover, in June 2024, the ONS found that it has been under-estimating how many cigarettes smokers consume since 2018