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And that is the methodology

In 2011, about 0.5% of high school students were using a vape exclusively, while exclusive cigarette use was around 11%

A study published in The Lancet Global Health in 2023 estimated the macroeconomic burden of COPD in 204 countries and regions from 2020 to 2050, predicting a global economic loss of $4.326 trillion due to COPD, with China bearing the highest burden at $1.363 trillion [5]

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Add the insanely addictive drug nicotine to this mix, and you can already see the problem