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In the other developed countries group, including Oceania, Japan, Israel and South Africa, tobacco consumption has followed a slow decline with an average annual rate of about 0.7 percent during the examined period

About 25 percent of high school students report using tobacco, and e-cigarettes were by far the most popular, according to a 2016 report by the Centers for Disease Control and Prevention

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E-cigarette use increased by a staggering 78 percent among high school students from 2017 to 2018 and use by middle school studentskids as young as 11increased 48 percent