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Results: Among the 839 reports, electronic cigarettes (e-cigarettes) were the primary product of concern, comprising 90.6% (n = 760) of all reports, surpassing traditional cigarettes (5.1%

3 Tobacco exposure is linked to inflammation and immune system dysfunction

The evidence is sufficient to conclude that there is a causal relationship between peer group social influences and the initiation and maintenance of smoking behaviors during adolescence

Capacity Building for Enforcement: Invest in strengthening enforcement mechanisms and provide training for healthcare professionals on effective tobacco cessation strategies