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Heres the part that doesnt get mentioned enough: black-market vape distribution in parts of Mexico has been linked to cartel supply chains

This issue is important for low level trauma as well, such as the kind sustained by people who work at physically demanding jobs

SU Tx = substance use treatment. The third note says, The percentages do not add to 100 percent due to rounding. Of the 5.7 million adults aged 18 or older in 2020 with a substance use disorder and serious mental illness in the past year, 1.9 million (33.6 percent) did not receive substance use treatment or mental health services and 3.7 million (66.4 percent) received substance use treatment or mental health services in the past year

Prevention programs that start in middle or high school might actually be too late. Adolescence is a critical period for brain development, especially for higher-order mental function, which means tweens and teens may be more susceptible to nicotine-induced brain changes