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The proportion using vapes for over a year before stopping has more than trebled from 15% in 2017 to 52% in 2026, with 19% saying they vaped for more than three years before stopping

But she said the principle meet people where they are is at the core of harm reduction, an approach the city has taken in its support of other efforts to combat the opioid crisis, such as supervised injection sites and needle exchange

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In addition, measuring serum cotinine as a biomarker of tobacco exposure markedly reduces misclassification and subjective bias, markedly strengthening the studys validity