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Air pollution in major metropolitan cities can worsen pre-existing lung conditions, the effects of which have been likened to people who have smoked cigarettes for most of their adult life

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"The dramatic spikes in youth e-cigarette use back in 2017 and 2018, primarily driven by JUUL, showed us how quickly e-cigarette sales and use patterns can change," said Deirdre Lawrence Kittner, director of the CDC's Office on Smoking and Health