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To date, at least four states have banned the sale of flavored ENDS (e.g., New York, New Jersey, Rhode Island, and Massachusetts),[18] with several more considering similar bans (e.g., Maryland, California, and Connecticut).[19] Conclusion Because FDA is charged with assessing the public health impact of flavored ENDS on a case-by-case basis during its review of PMTAs, the agency is unlikely to incorporate ENDS into its proposed rulemaking to ban menthol cigarettes and flavored cigars

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However, we do know that lung cancer rates among European men are among the highest in the world