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daily smokers make up only 11% of daily vapers

The rise of non-combusted tobacco products (e.g., electronic cigarettes or e-cigarettes, heated tobacco products) and the epidemic of youth e-cigarette use in many countries present further challenges (Figure 34.4)

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But this is the earliest biomolecular evidence of tobacco use anywhere in the Northwest, says Shannon Tushingham, an anthropologist at Washington State University in Pullman