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Clinicians who see adolescents and young adults should query if they are current smokers (regular or e-cigarette) and 1) raise their awareness of the potential harmful health effects of vaping, 2) develop and implement evidence-based strategies to prevent and reduce vaping (especially in youths) and 3) provide means and support to help those who vape to quit. Using the Canadian Community Health Survey (2015-2016 and 2017-2018) and health administrative data (2015-2018), To and colleagues assessed 2,700 individuals aged 15 to 30 years to evaluate odds/rates of asthma, asthma attacks and health services use among those who used e-cigarettes vs