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In 2010, the National Institute on Drug Abuse commissioned the manufacture of millions of experimental cigarettes with lower nicotine levels

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He noted that hookah use currently isnt asked about in the Youth Risk Behavior Surveillance Survey System ( YRBSS) questionnaire, a national school-based poll that attempts to monitor the prevalence of unhealthy behaviors that contribute to the leading causes of death and disability among youth and adults. What is included on that list is cigarette smoking, chewing tobacco, and even electronic cigarettes