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Before the Duke analysis, the most recent report on trends in exclusive tobacco use, exclusive cannabis use, and co-use relied on national data from 2003-2012

Nevertheless there is still a very large trade in snuff manufacture, and it is used very extensively in many countries

And there's also less utilization -- long term --- on the medical system," Pierce said

Despite rising negative opinions, 20% of Generation Z (todays teens through 23-year-olds) are considering purchasing JUUL products, compared to 18% of millennials, 12% of Generation X and 7% of baby boomers

Electronic cigarettes are a source of thirdhand exposure to nicotine

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