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Add the deaths from heart disease and the other negative effects of regularly inhaling smoke, and the number of annual deaths related to smoking climbs to nearly 500,000, making it the leading cause of preventable death in the US

The aerosol produced by e-cigarettes contains toxic substances and heavy metals such as copper or lead

At the time of our analyses, there were limited NHANES data on vaping in the 2013-2014, 2015-2016, and 20172018 cycles, but none in cycles with data on ANA

NHS - Vaping to quit smoking: NHS - Vaping myths and the facts: NHS - Using e-cigarettes to stop smoking: Office for Health Improvement and Disparities - Nicotine vaping in England: 2022 evidence update: Cancer Research UK - Smoking, tobacco and cancer: Action on Smoking and Health (ASH) - Use of vapes (e-cigarettes) among adults in Great Britain: HM Revenue & Customs - Introduction of Vaping Products Duty from 1 October 2026: Vaping products are for adult smokers and existing vapers only