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The pattern persisted decades later

Data from the 2014 National Youth Tobacco Survey showed how the use of these devices among high school students had risen from 4.5 percent in 2013 to 13.4 percent in 2014, which represents an increase from roughly 660,000 to two million students

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The American Lung Association remains concerned about their impact on the public health, given the dramatic increase in use among youth. Last year, the association fed news reports about the dangerous risk of flavored e-cigarettes by pointing out that the e-liquid contained propylene diacetyl, a chemical component found at the time in artificial butter that contributed to a bronchial condition known as popcorn lung. Conley concedes that diacetyl is present in some vaping juice, but at 100 to 750 times less than what is found in a cigarette