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High School Students Lowest in 22 Years Percentage of high school students who smoke 1991: 27.5 1993: 30.5 1995: 34.8 1997: 36.4 1999: 34.8 2001: 28.5 2003: 21.9 2005: 23.0 2007: 20.0 2009: 19.5 2011: 18.1 2013: 15.7 Source: National Youth Risk Behavior Surveys, 1991-2013 More Than a Quarter-Million Youth Who Had Never Smoked a Cigarette Used E-Cigarettes in 2013 In 2013, more than a quarter million middle school and high school students never smoked regular cigarettes but had used e-cigarettes three times as many as 2011

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Treatment Economic impact The important parameters used to assess the economic & public health burden of smoking are: Smoking-attributable mortality (SAM) Years of potential life lost (YPLL) Productivity losses Download the PrepLadder App and get the best residency psychiatry coaching with world-class video lectures, QBank, Mock Tests and more

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Esophageal cancer is another potential consequence of long-term dip use, causing difficulty swallowing and intense chest pain