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Increased use of E-cigarettes and ECs has raised numerous adverse health concerns involving the risks of heavy metals exposure via Els and vapors [145]

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"In my view, vaping is not carcinogenic, it doesn't cause cancer, it has just nicotine and nicotine by itself is relatively innocuous." Although the proposed bill would allow tourists to bring cigarettes to the islands, and smoke in designated areas, Creagan believes stronger laws will also make the state a more desirable destination

Additional Resources Primary care clinicians may find the following resources useful in talking with adults and pregnant persons about tobacco smoking cessation