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Symptoms include: Stinging or burning sensation in the eyes Redness Sensitivity to light Difficulty wearing contact lenses The chemicals in cigarettes can reduce tear production and disrupt the eyes natural moisture balance

In a 2019 national survey of over 42,000 adolescents it was reported that 12% of 8th graders, 25% of 10th graders and 30% of 12th graders used a vaping product within the last 30 days E-cigarettes are not safe for youth, young adults, pregnant women, or adults who do not currently use tobacco products

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Food and Drug Administrations Tobacco Retailer Inspection Program

Method: countries are sorted from highest to lowest 2025 WHO modelled estimate for the total adult population