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An estimated 1.2 million people under the legal age of 21 began vaping over the next year, according to a study published in May in the American Journal of Preventive Medicine

From a public health perspective, the question of whether the harms of vaping, which are still a bit uncertain, outweigh the benefits of getting people to stop smoking is complex and almost certain to be an ongoing debate

Similarly, in the US, when the legal age of access to cigarette sales was increased from 18 to 21, there was a 39% fall in that age group

Chewing tobacco significantly elevates health risks, with meta-analysis indicating a 3.6-fold increase in oral cancer risk and a 2.1-fold rise in esophageal cancer risk, alongside cardiovascular diseases