Though they point out that this has not been replicated across all similar studies, and so it is too soon to pull definitive conclusions from their data
What is tobacco smoke
Institutional approval and patient consent were not necessary
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For example, San Marcos, California , recently passed an ordinance requiring any shop that sells tobacco products, including e-cigarettes and related devices, to purchase a city-issued tobacco retail license. The city partnered with the San Marcos Prevention Coalition and the Vista Community Clinic, which conducted surveys of local e-cigarette retailers and vape shops and determined that a number of businesses were selling these products to minors in violation of state law