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Several studies found that in 2019, when the EVALI outbreak occurred, and the years following the outbreak, participants perceived safety of e-cigarettes decreased while their perceived harm of e-cigarettes increased [18, 26, 28]

At the time, the largest health concern for consumers concerning cigarettes was smokers cough and throat irritation

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The study includes the state excise taxes each levies on goods like oil and gas, cigarettes, alcohol, and even cellphone bills

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