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They are in fact gateways to smoking and according to a WHOs recent report, children and adolescents who use ENDS, even experimentally, are more than twice as likely to later use cigarettes

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However, the findings of this study, which suggest the availability of JUUL is associated with declines in cigarette consumption over time at the population level, are consistent with previous evidence that ENDS products are used by some adults who currently smoke as an alternative to combustible cigarettes and can potentially help adults who currently smoke switch away from smoking [43]

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