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The rise in popularity of electronic or e-cigarettes and vaping devices, collectively referred to as electronic nicotine delivery systems (ENDS), especially in minors, has come with concerns over the links to further tobacco or substance use, as well as serious life-threatening side effects
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Yet it cannot be considered a true laggard like most European countries it is on a downward trend with fewer deaths in 2019 than in 1990 (from 184,466 deaths in 1990 to 143,642 in 2019)
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