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Innovation and a well-regulated, responsible marketplace are critical to enabling THR

Nationally, the rate was 8.8%.2 Other tobacco product use: Virginia E-cigarette and smokeless tobacco use in Virginia In 2017, 4.9% of adults used e-cigarettes and 4.0% used smokeless tobacco.3 In 2017, 11.8% of high school students in Virginia used electronic vapor products on at least one day in the past 30 days

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MKS performed and supervised study procedures, developed survey instruments, conducted data analyses, and contributed to the writing and editing of the manuscript