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the rationale for the 2000 and 2008 WNTD themes identify the marketing strategies and "illusions" created by the tobacco industry as a primary source of this confusion

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"Time and again, the vaping industry has innovated around efforts to remove its youth-appealing products from the market." Adding to the challenge, foreign manufacturers of the prefilled devices don't have to register with the FDA, giving regulators little visibility into a sprawling industry centered in Chinas Shenzhen manufacturing center

(In May, the FDA finally banned e-cig sales to minors.) But much more research is needed to actually understand how harmful they are