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But if you go to a place like West Virginia, which has the highest smoking rate in the country, the behavior feels completely normalized," Koval says

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Knowledge of current legislation and regulations as well as the safety of e-cigarettes and their potential to renormalise smoking behaviour may help inform decisions on whether to permit or prohibit use of e-cigarettes on your premises

"Well-designed regulations can help current tobacco users to quit smoking, and American children and adults to avoid smoking or vaping in the first place. Gottlieb said tobacco use also costs nearly $300 billion a year in direct health care and lost productivity