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Chronic E-Cigarette Use Increases Neutrophil Elastase and Matrix Metalloprotease Levels in the Lung

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Underage persons are prohibited from buying electronic smoking devices, including e-cigarettes.6,7 The sale or distribution of electronic smoking devices or coupons for electronic smoking devices to underage persons is prohibited.9 The sale of flavored electronic smoking devices is prohibited, including disposable products (except tobacco and menthol flavor).9 Vending machine sales of electronic smoking devices is prohibited unless located in an establishment inaccessible to underage persons.9 Local tobacco laws Montgomery County, Maryland: Prohibits e-cigarette manufacturers from distributing all e-cigarettes to retail stores within a half mile of a middle or high school.10 Prohibits e-cigarette manufacturers from distributing flavored e-cigarettes to retail stores within a half mile of any middle or high school, library, or recreational facility.10 Quitting statistics and benefits Quitting vaping and smoking in Maryland The CDC estimates that 52.3% of daily adult smokers in Maryland quit smoking for one or more days in 2019.3 In 2014, the Affordable Care Act required that Medicaid programs cover all quit medications.7** Marylands state quit line invests $3.74 per smoker, compared with the national average investment per smoker of $2.28.7 Maryland does have a private insurance mandate provision for cessation.7 Notes and references Updated August 2021 *National and state-level prevalence numbers reflect the most recent data available

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