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"If we're not careful, we're going to get a [vaping] epidemic that starts with the younger generations that would just get worse over time," said Yvette van der Eijk, who researches tobacco policies with the National University of Singapore

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Between 2017 and 2022, average nicotine concentration increased from below 2% to 5% in what has been dubbed the nicotine strength arms race. This trend of increasing nicotine strengths places youth at greater risk of addiction, lower motivation to quit, and amplified symptoms of anxiety and depression