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The overall composition of the oils may play a direct role in this toxicity, as these case reports are similar to the e-cigarette product use associated lung injury (EVALI) outbreak that was accompanying by adverse respiratory symptoms including shortness of breath, chest pain, cough and in severe cases death

Current e-cigarette use among middle and high school students declined significantly between 2023 and 2024 (7.7% to 5.9%, or 2.13 million to 1.63 million) but e-cigarette use remains a serious public health threat: among students who currently used e-cigarettes in 2024, 38.4% reported frequent use and 26.3% reported daily use

These innovative sticks contain real tobacco but do not require combustion

The atomizer also tends to gurgle a bit