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While 41 states ban e-cigarette sales to minors, "they tend to focus on face-to-face sales," imposing fewer or no restrictions for online sales, said Camille Gourdet, a health policy researcher at the University of Illinois at Chicago who was not involved in the study

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Lung injury and inflammation were scored based on a scale evaluating bronchial damage, hyperplasia, inflammatory cell influx, alveolar exudates, damage, wall thickness, inflammation, and emphysema, all with a scale from 0 to 4