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An important target group for communicating these ENDS risks are those using several tobacco and nicotine products (dual or multiple use).[xlvi] A growing body of evidence suggests that, compared to the exclusive use of tobacco cigarettes, dual use carries additional rather than reduced risks, particularly among high-risk populations (children, pregnant women, et al)

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The Cigarette Renaissance Data published by the Centers for Disease Control and Prevention in 2024 found that nearly one in 20 adults in the United States aged 18 to 24 used cigarettes in 2022, although the figure was almost three times higher for those aged 25 to 44

K., Ouimet, J., Hitchman, S