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As the American Lung Associations Erika Sward put it to me, Are we talking about the difference between jumping out a twenty-story versus an eight-story window? Sward was equally dismissive of the potential benefits of vaping for cigarette smokers looking to cut down or quit: Weve never bought into e-cigarettes as either a cessation product or a harm-reduction tool in the way the industry has tried to sell it. But the scientific evidence showing the efficacy of vaping as a harm-reduction tool is not being produced by industry hacks: Theres a growing body of research showing a correlation between e-cigarette use and smoking cessation, as well as multiple studies showing that combustible cigarette smoking decreases when smokers take up vaping

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However, between 2016 and 2019, the rates plateaued or even increased, particularly among adolescent girls, until another significant decrease was observed in 2020, coinciding with the onset of the coronavirus disease 2019 pandemic