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Usage has doubled annually since 2019, and overall sales exceeded 800 million units in the first three months of 2022, according to research published by the American Cancer Society

Louis Rothman started out hawking ciggies he'd rolled himself, from a tiny kiosk on Fleet Street

who reported having used select tobacco products in the last 3 months, as of fall 2023 Lifetime prevalence of cigarette use for grades 8, 10, and 12 combined from 1991 to 2023 30-day prevalence of cigarettes use for grades 8, 10, and 12 combined from 1991 to 2023 Tobacco Product Use Among U.S

Smoke and vapor also worsen gastroesophageal reflux disease (GERD) and obstructive sleep apnea, two conditions that can intensify chronic cough, throat clearing, hoarseness, and nighttime breathing issues

Tobacco-free products commonly fall outside this framework

Talk to your kids about vaping