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officials call a steep rise in teen e-cigarette use an 'epidemic' This is an excerpt from Second Opinion, a weekly roundup of eclectic and under-the-radar health and medical science news emailed to subscribers every Saturday morning

Participants reporting 2 to 5 cigarettes per day had elevated hazards across outcomes, ranging from 1.26 for atrial fibrillation to 1.57 for heart failure, and showed higher cardiovascular disease mortality (hazard ratio 1.57) and all-cause mortality (hazard ratio 1.60) versus never-smokers

Journal of Adolescent Health, 750-753

An Indian consumer group wants a PMO-led task force to confront smuggled cigarettes, counterfeit tobacco, and illegal vaping products

[1] Cotinine's longer half-life allows it to be detected for a longer time in saliva, blood, and urine, making it the preferred marker for assessing tobacco use or nicotine exposure