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Offline Retail Sales Dominate Secondly, offline retail sales, particularly through vape shops, have become the dominant distribution channel for e-cigarettes in the U.S

This movement follows the penetrations in the ceilings, floor, and walls

This global phenomenon introduces complex new dimensions to public health strategies traditionally focused on combustible tobacco, demanding adaptive and targeted responses to mitigate associated risks [5]

Poisoning related to e-cigarettes involves the liquid containing nicotine used in the devices and can occur in three ways: by ingestion, inhalation or absorption through the skin or eyes