In a Journal of Health Care Law and Policy article, William Tilburg of the Maryland Medical Cannabis Commission, Kathleen Hoke of the University of Maryland Carey Law School, and Mellissa Sager of Colorados Tri-County Health Department argue that federal legislation creates significant ENDS regulation gaps that state and local governments can fill
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Council Member Fernando Cabrera, who introduced the bill to create the licensing requirement for e-cigarette retailers, described the proposal as "a major step to limit the use of e-cigarettes, which are dangerous nicotine delivery systems that can lead to nicotine and potentially drug addiction." "Local governments are restricting access to e-cigarettes as the dangers of 'vaping' are more widely recognized
The trajectory of the dual use pattern among adults or children is unclear, but studies of youth find that as many as one third of youth who use e-cigarettes have never smoked a conventional cigarette
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