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"I am deeply concerned about the growing epidemic of e-cigarette use in our children," she tweeted, echoing Azar's language, "We need to do all we can to protect the public from tobacco-related disease and death, and prevent e-cigarettes from becoming an on-ramp to nicotine addiction for a generation of youth." On Wednesday, the first lady shared an infographic showing youth use of e-cigarettes continuing to climb, while their use of traditional cigarettes declined

Smuggling is not the only unintended consequence of higher taxes

Smoking hazards illustration Quitting smoking - illustration The many methods of quitting smoking include counseling and support groups, nicotine replacement therapy, prescription medications, and incremental reduction