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In 2020, the PACT Act was amended, expanding the definition of cigarettes to also include Electronic Nicotine Delivery Systems (ENDS), which means any electronic device that, through an aerosolized solution, delivers nicotine, flavor, or any other substance to the user inhaling from the device

8 NSDUH is the primary source for statistical information on illicit drug use, alcohol use, substance use disorders, and mental health issues for the U.S

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