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Schatz has introduced legislation to raise the tobacco age every year since 2015 when his home state of Hawaii raised it to 21 and said in a statement the measure is a "big win for public health." Vaping industry advocates have supported raising the legal age to buy tobacco amid criticism that e-cigarette companies targeted minors with marketing materials on social media and flavored products

We are redoubling efforts to catch and prevent people from selling to kids, because we really need to protect our kids, Bettigole said

Most customers who purchase low grade tobacco use it for ceremonial purposes, to practice rolling cigars, use as a natural insecticide and/or purchased by industrial companies

Individuals living in socioeconomically deprived areas are more likely to be exposed to dense clustering of vape shops and less likely to have access to cessation clinics or smoke-free public environments [84,85,86,87,88,89]

Many airlines equate vaping with smoking, treating both activities equally in terms of restrictions