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In 2017, 15.4% of Canadians aged 15 years and older (4.6 million) reported having tried an e-cigarette, and 2.9% (~863 000) had used an e-cigarette in the previous 30 days.[2] Among adolescents in grades 8, 10, and 12 in the United States, vaping prevalence more than doubled in each of the three grades from 2017 to 2019.[3] In 2019, it was estimated that more than 25% of students in the 12th grade in the United States had vaped during the previous 30 days, while 12% of students stated that they vaped daily.[4] Multiple case series were published in autumn 2019 when hospitalizations linked to lung disease and electronic nicotine delivery systems increased throughout the United States

"Our results indicate that when integrating smoking cessation interventions to reduce lung cancer risk, the potential harms of using e-cigarettes as an alternative to smoking must be considered," said cooresponding author, Dr