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Findings released from the most recent Monitoring the Future survey of substance use behaviors and related attitudes among teens in the United States indicate that from 2017 to 2019, the percentage of teenagers who said they vaped nicotine in the past 12 months roughly doubled for 8th graders from 7.5% to 16.5%, for 10th graders from 15.8% to 30.7%, and for 12 th graders from 18.8% to 35.3%

Cardiovascular effects of nicotine include increased heartrate, increased workload on the heart and increased blood pressure, which may ultimately lead to heart failure and abnormal heart rhythms

Psychiatry 26 , 3039 (2020)

The World Health Organization (WHO) estimates that tobacco kills more than 8 million people each year, with more than 7 million of those deaths resulting from direct tobacco use and around 1.2 million being non-smokers exposed to secondhand smoke

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In other words, we assume that the retail prices of cigarettes, other tobacco products, and e-cigarettes would be raised to include the excise tax increase