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E-cigarettes have long been considered a type of tobacco product

Nearly one in four high schoolers report vaping in the month before they were surveyed for the 2015 Youth Risk Behavior Surveillance System a large increase from 2011 when the CDC-sponsored Youth Tobacco Survey reported 1 in 20 teens vaping

Washington State also offers a quit line with counselors in a variety of languages: Chinese: 800-838-8917 English: 800-784-8669 Korean: 800-556-5564 Spanish: 855-335-3569 Vietnamese: 800-778-8440 Quit apps Quit apps or text support on your smartphone are a good resource to consider

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A number of factors could be driving the change, including message fatigue, McClernon says