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For example, the highest rates were seen in West Virginia (25 percent), followed by Kentucky (18 percent), Montana (16.5 percent), Vermont (15.5 percent), and Missouri (15 percent)

[cited 2025 Dec 5]

Policy Recommendations : Respiratory experts are calling for a global ban on cigarette filters and single-use electronic nicotine delivery systems to reduce the environmental and healthcare burden

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However, because vaping is a relatively new phenomenon, there is little research about its effects on GERD