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What's the situation in other countries in Europe, and how do their smoking and vaping rates compare

These changes reverberate through interconnected axes such as the gutlung and gutliver pathways, amplifying inflammatory and metabolic dysfunctions

The prevalence of e-cigarette use has been increasing among adolescents and adults in both the US8 and Europe.9 In adults, the highest prevalence is in current conventional cigarette smokers, of whom 31% report having tried electronic cigarettes.9 There are few studies documenting use trends in older smokers and none in individuals with established smoking-induced lung disease such as chronic obstructive pulmonary disease (COPD)

[15, 22] Reducing youths access to tobacco products is key for their health