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The other authors declare no conflicts of interest

Youth and young adult vaping is associated with 5-7 times greater risk of testing positive for COVID-19

While increases in smoke-free policies and awareness of environmental tobacco smoke (ETS) hazards have contributed to a substantial reduction in exposure in ETS in recent years, some children continue to experience extremely high levels of exposure. ETS is typically measured by the levels of cotinine, a nicotine metabolite, in childrens blood or saliva

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