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Whereas before, cigarettes carried an unmistakable smell and visible smoke that made use difficult to hide, teens now access flavored vapes with names like Blue Raspberry or Mango Ice. Worst of all, many dont recognize these products as forms of smoking at all, given that they have typically been positioned as harm reduction alternatives to cigarettes

And when it rains, they can flow with runoff down storm drains and out into waterways and the open ocean

30 Data were collected between 1969 and 1976, so long-term smokers of filtered cigarettes may have used a combination of filtered ventilated and unventilated cigarettes

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