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Further, lawmakers should understand that consumers can avoid the tax by adding their own nicotine to e-liquid solutions

MMWR Morb Mortal Wkly Rep 69(37):13101312 Flouris AD, Chorti MS, Poulianiti KP, Jamurtas AZ, Kostikas K, Tzatzarakis MN et al (2013) Acute impact of active and passive electronic cigarette smoking on serum cotinine and lung function

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Both tax increases "are not large enough to have a public health impact," said Leah Martin, director of advocacy in Missouri for the American Lung Association