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In California, where smoking rates are among the lowest in the country, the increase in vaping, possibly followed by increases in smoking, could erode the progress that has been made over the last several decades in tobacco control. In fact, older teens who experiment with electronic cigarettes are six times more likely to try regular cigarettes within about a year when compared to those who have never vaped, reported Barrington-Trimis and her USC colleagues in a study published in June in Pediatrics

Flavorings, as well as thickener additives such as vitamin E acetate in THC products and other unknown additives in black-market THC vape products, have all been considered possible causes, with no single product or compound linked yet to the lung damage

The packaging process is designed to protect the cigarettes and keep them fresh