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More than a quarter of youth in middle and high school have tried e-cigarettes. These statistics are particularly troubling, since teen e-cigarette users are 4-7 times as likely to begin smoking traditional cigarettes (SOURCE)

It was telling when sales of cigarettes in New Hampshire increased by 22 percent and sales in Rhode Island increased by 18 percent in the 12 months following the Massachusetts menthol ban

Sometimes they were all of these things at once

Cigarette smoking is the leading cause of preventable disease and death in the United States, accounting for more than 480,000 deaths every year, or about 1 in 5 deaths