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Second, and perhaps more critically, vaping often serves as a gateway to smoking, particularly among youth

In 2018, the US Surgeon General declared that there was an e-cigarette epidemic among young people, adding that e-cigarette usage increased 78 percent among high school students from the previous year, from 11.7 percent in 2017 to 20.8 percent in 2018

Calantzopoulos cited the decision by the US agency as an important example of how governments and public health organizations can regulate smoke-free alternatives to differentiate them from cigarettes in order to promote public health

The 1947 rate was 3 cents per pack, and unlike every other cigarette-tax state except Massachusetts, Michigan did not require a tax stamp or meter impression as proof of payment