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The current findings are consistent with a previous study on the Palestinian university students in which the prevalence of e-cigarette use was 18.1% with 43.6% dual smokers 8

Caci G, Selya A, La Rosa GRM, Spicuzza L, Morjaria JB, Polosa R (2025) Respiratory effects of electronic cigarette use in individuals who never smoked: A systematic review
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Counterfeit vape pens may have cheap solvents, heavy metals, or chemicals that are not inhalable

Scharf is a behavioral and social scientist at the nonprofit, nonpartisan RAND Corporation

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