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Furthermore, among ex-smokers who had quit less than five years prior to the study, those who had gone on to use e-cigarettes were more likely to develop lung cancer (adjusted HR=1.23, 95%CI 1.091.39), and to die from lung cancer (adjusted HR=1.71, 95%CI 1.102.66) than those who had not

The four-decade gap is largely due to: Technological advancements: By the early 2000s, lithium-ion batteries, micro-heating elements, and compact control circuits had matured enough to support portable vaping devices

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Buyers have to show their photo ID to purchase e-cigarettes, hookah tobacco, or cigars, verifying that they are 21 years or older