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West Virginia had the highest rate of high school e-cigarette use in the United States in 2021 with 27.5% of students reporting use within 30 days, followed in the rankings by Alaska ( 26.1% ), Montana and Louisiana (both at 25.5% ) and New Mexico ( 25.4% )

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E-cigarettes are another viable option for quitting smoking

[25] [26] The recent rise in the use of electronic cigarettes, many forms of which are designed to be refilled with nicotine-containing "e-liquid" supplied in small plastic bottles, has renewed interest in nicotine overdoses, especially the possibility of young children ingesting the liquids

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