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While ENDS may have the potential to benefit established adult smokers if used as a complete substitute for all smoked tobacco products, ENDS should not be used by youth and adult non-tobacco users because of the harmful effects of nicotine and other risk exposures, as well as the risk for progression to other forms of tobacco use. While 26 states and the District of Columbia have comprehensive smoke-free laws that prevent smoking in restaurants, worksites, and bars, only three of those states also prohibit ENDS use indoors: New Jersey, North Dakota, and Utah

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They might be influenced by seeing family members or friends smoke