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Vaping reached a peak of approximately 28% among all high school students in 2019, according to the Centers for Disease Control and Prevention. E-cigarettes and e-liquid pods heat and then vaporize nicotine salts

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Another consideration is the potential for residual confounding factors, such as the presence of indoor fireplaces or environmental pollutants unrelated to tobacco, which may influence health outcomes and complicate the attribution of effects solely to SHS

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