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According to Kirks Veterinary Therapy, eating one cigarette can cause symptoms in a 40 pound dog, while eleven would potentially be fatal.

Advocates are calling for strong and prompt action to address this public health crisis, which has persisted for decades

In addition, cigarettes are less likely to damage during shipping and storage if they are packaged in sturdy, protective cigarette packaging design

Public health messaging efforts should consider targeting greater acculturated younger Hispanic and Latino individuals and creating bilingual messaging efforts that may be more appropriate for less acculturated, older people. April-Sanders said future research needs to examine why non-tobacco users are turning to e-cigarettes and monitor ENDS use.