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There are also a range of non-state actors from academics providing impartial evidence on the prospects and effects of policies to groups advocating for marginalized constituents and journalists investigating criminal offenders that can contribute to the response

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Last year, the University of Michigan found among 10th and 12th grade students surveyed about vaping, the largest year-to-year increase in substance use ever recorded in the US. The New York Times reports on an advisory from the US Surgeon General of a 78 percent increase in high school students use of e-cigarettes, but adds that only occasional use marked the majority of teen vaping

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