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Sweden is the clearest population-level evidence

Indeed, the Centers for Disease Control and Prevention cautions that if teens vape, they breathe in tiny particles that can harm their lungs and damage lung function over time (71)

For instance, smaller entities like Innokin and KangerTech faced inventory shortages in Q3 2025, leading to a loss of shelf space to their vertically integrated rivals

(Arkansas has no major tobacco operations, so its high degree of use is linked to other factors.) As more Americans quit smoking, these are the last segments of the population that the tobacco industry has come to rely on in the US