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Soldiers had been rationed 4 cigarettes a day during WWI

While cigarette consumption declined 33% from 2000 to 2011 here in the U.S., the use of other types of tobacco grew by 125%, as smokers sought lower-cost alternatives to cigarettes, whose prices have risen sharply as a growing number of states raise taxes on the product

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Given high rate of exposure (20% of high school students vape), additional reports with larger sample size may offer more conclusive data n Association not demonstrated : retrospective observational study has low potential to identify association between exposure and disease