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The Centers for Disease Control and Prevention (CDC) says the deaths were from an e-cigarette or vaping product use-associated lung injury (EVALI)

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Chewing tobacco is a physical addiction because the nicotine in the tobacco leaves is absorbed through the lining of the mouth

People struggling with addiction may also use substances such as: Alcohol Cocaine Heroin Each substance carries unique risks, and combining drugs can increase the likelihood of serious health complications

Public and political policy issues also affect cigarillo use: Cigarillos are taxed at a lower rate at the state and federal levels