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The improvements were seen across all groups, including those diagnosed with a mental health condition

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Enslaved Africans, who had a tradition of the use of medicinal plants in their Native land, adapted to their new surroundings by learning the use of New World plants through experimentation or from the Native inhabitants

In 2024, 5.9%, or about 1.6 million, middle and high school students used e-cigarettes, according to the 2024 National Youth Survey

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