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E-cigarettes are generally thought to be safer than traditional cigarettes, which kill up to half of all lifetime users, according to the World Health Organization, but the long-term health effects of the nicotine devices remain largely unknown

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3), with west states having higher prevalence compared to south states, in particular five states, namely Arizona, California, Colorado, the District of Columbia, and Nevada, had high rates of both current hookah use ( 5%) and ever use ( 15%) [45]