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Nikysha Harding, MPH, director of the Boston Public Health Commissions Tobacco Prevention and Control Program, and three regulators work to enforce the regulation, as well as Bostons smoke-free workplace regulations

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State and federal officials attribute at least some of those to an oil derived from vitamin E that was used in vaped cannabis products, but a report by the Centers for Disease Control and Prevention (CDC) noted that no consistent e-cigarette product, substance, or additive has been identified in all cases, nor has any one product or substance been conclusively linked to pulmonary disease in patients. The CDC has advised that people not use e-cigarette products while the investigation is ongoing

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