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The rise of non-combusted tobacco products (e.g., electronic cigarettes or e-cigarettes, heated tobacco products) and the epidemic of youth e-cigarette use in many countries present further challenges (Figure 34.4)

CDC, Youth Risk Behavioral Surveillance System, 2021

This increased risk is because alcohol can enhance the toxic effects of cigarette smoke on some tissues, especially those in the upper respiratory tract

While most EVALI cases were linked to THC-containing products adulterated with vitamin E acetate, the episode underscored how little regulation existed in the vape market and how quickly things can go wrong

Very compact, fits well in the e-cigarette