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Because of the significant impact this rapid rise has had on public health, until recently research and policy on e-cigarettes has focused on the youth e-cigarette crisis and lack of regulation rather than the products environmental impact

The NHIS is a continuous, nationwide in-person survey of approximately 27000 adults annually that collects data on a wide range of health topics including information on tobacco product usage of the civilian, non-institutionalized US population

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What happened before can only be deduced from archaeological finds and oral traditions