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There are longstanding surveillance systems in place that help implement laws at brick-and-mortar stores, but we do not have a system in place for online retailers, Leas said, adding, The results of this study highlight the need for greater oversight and enforcement of online tobacco retailers. A top official at the Vapor Technology Assn., a trade group for the e-cigarette industry, said the study raised an academic issue that is interesting, but not particularly relevant to what is really happening in this country with respect to youth and vaping products. Tony Abboud, the associations executive director, said vaping by youth has plummeted since the age to purchase these products was raised to 21 in 2019

By restricting the analyses to a sample of young adults with no history of respiratory disease or wheezing symptom, the study mitigated potential bias that patterns of use and exposure may have influenced by pre-existing respiratory conditions. The study also found that tobacco flavored e-cigarette users had 170 percent greater odds of developing any respiratory symptom compared to never users

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Fill capacity means the normal amount the container is designed to hold during real use, allowing room for the cap, lid, pump, seal, or normal product movement
