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It recognizes the fundamental right of children to breathe clean air
The adolescent cardiovascular systemcharacterized by active vascular remodeling and an immature endotheliumis especially vulnerable to the oxidative stress and inflammation induced by e-cigarette aerosols ( Nicotine and other chemical components of vaporized e-liquids can impair endothelial function, increase arterial stiffness, and elevate blood pressurerecognized early markers of cardiovascular disease ( Given the prognostic value of elevated blood pressure and arterial stiffness as predictors of cardiovascular morbidity and mortality, these findings raise serious concerns about the potential lifelong cardiovascular consequences of vaping initiation during adolescence
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Most prominently, the passage of the Tobacco 21 legislation in November 2019, that was signed into law December 2019, increased the minimum age of sales from 18 years to 21 years nationwide [59]
Cigarettes continue to dominate the combustible tobacco market despite declining overall smoking rates
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