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INTRODUCTION About 6.9% of US adults aged 18 years currently use electronic nicotine delivery systems (ENDS), and 3.2% use ENDS daily 1

Compare 2025 findings with 2020 data to see how litter levels have changed across Americas roadways, waterways, and public spaces

A 2009 review found that AAS use may have extensive health impacts like cardiovascular toxicity and psychiatric effects, including mood disorders

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MacArthur died in 2010 with an undisclosed cause of death, while Powers was diagnosed with lung cancer in November of 2008

Unlike smoking, where nicotine enters the bloodstream via the lungs, chewing tobacco relies on oral absorption
