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Air quality in Northern California surpassed China and India with AQI levels exceeding 350 in some places and an average level of hazardous, where everyone, not just sensitive groups, could experience health effects (Wu, Dineen 2018)

Health and Human Services Secretary Alex Azar said in a news release that HHS "seeks to strike the right public health balance by maintaining e-cigarettes as a potential off-ramp for adults using combustible tobacco while ensuring these products dont provide an on-ramp to nicotine addiction for our youth." The key word in that sentence is "potential." The FDA has not approved any e-cigarette product as a smoking-cessation aid, and the smokefree.gov website says, "So far, the research shows there is limited evidence that e-cigarettes are effective for helping smokers quit." Quick change surprises many Several national organizations weren't happy with the abrupt change and sent the FDA a letter Dec