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Current figures suggest one in ten middle- to high-school students in the US uses an e-cigarette.

Comparing those who quit smoking entirely with those who quit cigarettes but began vaping, the researchers say those who vaped had a higher risk of developing lung cancer and twice the risk of lung cancer-related death

This also makes government tax revenues more dependent on industry pricing strategies and increases the uncertainty of the tobacco tax revenue stream

However, the health risks for different tobacco products exist on a spectrum, which is sometimes referred to as a continuum of risk. Combusted, or smoked, tobacco products - such as cigarettes - are the most harmful type of tobacco product