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There are many likely causes for this decline, including public health messaging, the growth of substitute products, and changes in federal, state, and local policies

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Nicotine and cotinine can be detected in hair for up to 90 days, as these substances become embedded in the hair as it grows

Severe lung damage has occurred in young users, including a 12-year-old named Sarah Griffin from Belfast who needed an induced coma after vaping

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