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Current e-cigarette use among middle and high school students declined significantly between 2023 and 2024 (7.7% to 5.9%, or 2.13 million to 1.63 million) but e-cigarette use remains a serious public health threat: among students who currently used e-cigarettes in 2024, 38.4% reported frequent use and 26.3% reported daily use

In their subsequent analysis of IQOS emissions, they concluded that the heated tobacco vapour also contained harmful chemicals which stem from pyrolysis the term for incomplete combustion and thermogenic degradation, making it more similar to cigarette smoke than the company was claiming

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