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Nationally, the rate was 6.0%.2 Other tobacco product use: Pennsylvania Vaping rates in Pennsylvania In 2017, 4.7% of adults in Pennsylvania used e-cigarettes.3 In 2018, 4.6% of adults in Pennsylvania used smokeless tobacco.3 In 2019, 24.4% of high school students in Pennsylvania used electronic vapor products on at least one day in the past 30 days

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it is a real disease because it involves both physical and psychological addiction

Though smokeless tobacco products have been on the market for years, new smokeless and spitless nicotine pouches are beginning to gain popularity because of social media promotion