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With recent concerns about youth consumption and health effects of vaping, the chain removed all open systems from its stores in North America until we better understand the health issues that have been reported with open systems, Hannasch said

10.1007/s11739-019-02090-8 61

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74 Given the shifting burden of smoking and tobacco-related death and disease from high-income to low- and middle-income countries, there is a particular need to assess the impact of tobacco control strategies in such countries and develop tools to support their policymakers in prioritising the most effective policies to improve population health

That doesn't necessarily mean they're safe to use, especially for young people, and experts say there's little evidence that they help adults quit smoking