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Health and Human Services Secretary Alex Azar and former Food and Drug Administration Commissioner Scott Gottlieb have been on a mission to eradicate teen vaping, which Gottlieb said is one of the federal agencys biggest health care challenges. The 2018 National Youth Tobacco Survey showed a nearly 80 percent increase in current e-cigarette use by high-school teens over the previous year

The authors estimate that in 2006, no state had a higher export rate than Delaware, where outbound cigarette smuggling - fueled by casual smuggling - reached 82.8 percent of the state's estimated in-state cigarette consumption

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