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In 2020, in the wake of what the Food and Drug Administration called a youth vaping epidemic, the agency banned the sale of flavored vapes, a favorite among children and teens, packaged to hook a young audience

Among youth who used each of the following tobacco products in the past 30 days (considered current users), 63.3 percent (1.58 million) had used a flavored e-cigarette, 60.6 percent (1.02 million) had used flavored hookah tobacco, 63.5 percent (910,000) had used a flavored cigar, 58.8 percent (690,000) had used flavored smokeless tobacco, and 53.6 percent (900,000) had used menthol cigarettes

In 2002 a report by the British Royal College of Physicians, one of the worlds oldest and most prestigious medical societies, stated: As a way of using nicotine, the consumption of non-combustible [smokeless] tobacco is on the order of 10-1,000 times less hazardous than smoking, depending on the product. The Royal College issued another report in 2007 concluding that smokers smoke predominantly for nicotine, that nicotine itself is not especially hazardous, and that if nicotine could be provided in a form that is acceptable and effective as a cigarette substitute, millions of lives could be saved

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