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However, in a recent paper, we provided evidence that the decline in young adult smoking was largely independent of the rise in e-cigarettes.4 Importantly, most of the decline in young adult prevalence occurred prior to the surge in e-cigarette vaping, which occurred between 2014 and 2019

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Department of Health and Human Services, it is estimated that smoking is the cause of more than 20 million American deaths since the first Surgeon Generals Report on Smoking and Health was issued in 1964