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A December 2018 advisory from the Surgeon Generals office labeled teen e-cig use an epidemic and noted that more than 3.6 million young Americans use the devices

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The dangerous effects of smoking during pregnancy are already widely known babies are more likely to be born prematurely or with low birth weight, and are up to three times more likely to die from Sudden Infant Death Syndrome (SIDS), according to the Centers for Disease Control and Prevention

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However, concerns regarding the emergence of e-cigarettes have centred largely on debates regarding effects on young people, in particular via their acting as a new gateway to nicotine addiction (19, 24), or renormalising smoking (25,26,27)