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Ray Dlugolecki, MPH, Community Health Department Manager with the Jackson County Health Department, says neither parents nor teens have a clear understanding of the health effects of the use of these products

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This decrease in oxygen supply is worsened by the other effects of smoking, notably that it constricts the blood vessels

BMC Public Health 15:944 Centers for Disease Control and Prevention (CDC) (2012) Current tobacco use among middle and high school studentsUnited States, 2011

Tobacco use of all types is more prevalent among Alaska Natives than non-Natives, but there is evidence that the gap has narrowed a bit