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Individuals with COPD were also more likely to have ever smoked cigarettes, currently use cigarettes, cigars, hookah and e-cigarettes, and had greater mean pack-years (among ever cigarette smokers) compared to those without COPD

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It aims to obtain statewide estimates of use for various tobacco products by middle and high school students in California to inform statewide prevention and intervention efforts

The American Vaping Association said it would work to defeat the measure but was undecided about how much it would spend on the effort