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On November 24, 2025, Gibbs emailed a "Statewide poll working group" inviting them to help "formulate a statewide voter poll on messaging around endgame policies." The group included three CDPH employees: Lautsch, Valenzuela, and Tonia Hagaman, alongside American Heart Association staff and Rachael Record, a San Diego State University professor whose published research explicitly aimed to develop community-specific messaging strategies to build support for tobacco prohibition

The role of smoking in MS and other neurodegenerative disorder needs to be investigated further

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Over the past decade, the use of vapor products has grown significantly and become the leading competitor to traditional tobacco products