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Exposure to second-hand smoke has also been implicated in adverse health outcomes, including death

Dimensions: 5351 x 3572 px | 45.3 x 30.2 cm | 17.8 x 11.9 inches | 300dpi Date taken: 17 April 2018

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importantly, cumulative exposure (measured in pack-years) was strongly associated with fibrosis severity, with each additional pack-year tripling the likelihood of advanced fibrosis (adjusted OR per pack-year: 3.2

In fact, e-cigarette use grew 78% among high schoolers and 48% among middle schoolers in just one year from 2017 to 2018, and JUUL now accounts for three-quarters of the U.S