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The $4 billion cost of illicit tobacco in 202324, through lost tax revenue, healthcare costs and reduced productivity, marks a four-fold increase since 202021 and cements tobacco as the second-largest illicit commodity market after drugs

While concerning, these anecdotal reports have significant limitations as evidence for a causal relationship: While the evidence doesnt support a direct link between regulated vaping products and popcorn lung, this doesnt mean vaping is risk-free

That discretion has made it spread faster than any previous nicotine product

E-cigarette use among middle and high school students has rapidly increased with more than 2 million middle school, high school and college students using the battery-powered devices to heat liquid-based nicotine into an inhalable aerosol