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It is natural to equate one cigarette to a certain number of puffs, though this is rarely an exact science due to differences in individual inhalation depth, device power, and nicotine strength

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Trailing the steady decline since the early 1980s in the adult smoking rate, the cancer death rate has declined as well from the 1991 peak

doi:10.1038/s41562-020-00940-6

How School-Based Health Centers & Wellness Centers Can Support Youth with Addiction Its important to remember that supporting youth with addiction is a complex and multifaceted issue that requires a collaborative approach involving schools, school health partners, parents/guardians, and community resources