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Using her government email account, Buzby offered to deploy "an amazing group of volunteers" who would "answer questions, attend a meeting, testify at a hearing, whatever." McAuliffe described the arrangement in an email to the town's Select Board chair: "The Commonwealth has assigned NFG staff and reps from the [Massachusetts Municipal Association] to insulate us through the remainder of the process." Buzby was explicit about MTCP's interest in NFG, writing to the town of Mansfield's health director: "MTCP has asked all of us Tobacco Program Managers to let them know when new tobacco policies get passed." The grant report for the Six City Tobacco Initiative, which is entirely funded by the Massachusetts Department of Health, recorded Somerville's adoption of NFG in March 2025 as "another win." The use of such language in a grant report to a state health department suggests that this is an active policy being pursued with no public mandate

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Therefore, researchers need to further investigate how e-cigarettes affect airway function and the related inflammatory mechanisms to provide scientific evidence for developing more effective public health strategies and patient education