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Which is a legitimate concern when looked at in the context of the flavoring bans which were enacted in New York in 2009 and a similar bill brought before the 2011 Salt Lake City Legislature calling for all flavored tobacco products targeted at children to be outlawed

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A: When the specifics of substance use are unclear, and multiple psychoactive substances are involved, the term 'unknown' is used

These declines appear to have largely continued alongside co-occurring increases in exposure to e-cigarettes