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According to the 2021 National Youth Tobacco Survey, the current cigarette smoking prevalence among Black American middle schoolers was 1.1% compared with 1.0% of all middle schoolers

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The authors describe a small study that suggests vapers may have increased prevalence of nicotine stomatitis (which is, oddly, not related to nicotine), a condition caused by heat that creates lesions in the mouth

Kandel D, Schaffran C, Hu MC, Thomas Y