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Compared to middle and high school students, one notable difference is that among young adults, vaping has continued to rise, even through the COVID-19 pandemic

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The Downtown Streets Team has removed an estimated 100,000 butts within the city in the past year, said Rachel Kippen, co-chairwoman for the Santa Cruz County Tobacco Education Coalition

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There is also a long-standing practice of flooding African-American communities with menthol tobacco advertising, which led to increased tobacco usage nationally among low-income African-Americans, according to the Center for Public Health and Tobacco Policy