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3 Do NOT sell or distribute e-cigarettes, e-liquids, or other ENDS without a health warning statement on the package

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Advise counsel all patients who smoke to quit in a way that is clear but not confrontational

In 2020, the Center for Disease Control and Prevention reported a higher use of vapes in adults with disabilities (8%) when compared to adults without disabilities (3.9%).[18] In a study by A Senders et al, on disparities of tobacco use in adolescents in the state of Oregon USA, it was reported that 18.3% of adolescents with disability used e-cigarettes when compared to 12.3% with no disability.[19] An article published by E Emerson in 2023, reported that there was a tentative higher prevalence of e-cigarette use among female adolescents with intellectual disability at the age of 17 when compared with girls with no disability of the same age