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What we were really trying to understand was how much knowledge Gen Z has about the public health impacts and their own personal health risks from smoking, and whats driving them to smoke in the first place

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The state lawsuits sought recovery for Medicaid and other public health expenses incurred in the treatment of smoking-induced illnesses

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This would allow us to determine long term changes in biomarkers of potential harm exclusively due to vaping and not as a consequence of prior longterm smoking. This tells us that even with all the evidence available to-date, the fact that almost all vapers featured in studies used to be smokers means experts cannot be certain anything negative they find may not just be a consequence of their habits before making the switch