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The bottom line is that as more teens have experimented with vapor products, youth smoking has experienced massive and unprecedented declines that no one predicted just five years ago. Cynthia Cabrera, executive director for the Smoke-Free Alternatives Trade Association, disputed the studys findings, pointing out that teen smoking has continued to decrease

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But wherever taxes become punitive enough, smokers often respond the same way other consumers do: They shop elsewhere, cross borders, or turn to the black market