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Bush administration when Congress enacted the Alcohol, Drug Abuse, and Mental Health Administration Reorganization Act, whose Synar Amendment forced states to create their own laws to have a minimum age of 18 to purchase tobacco or else lose funding from the Substance Abuse and Mental Health Services Administration

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This is particularly the case for young people who are taking up e-cigarettes without having smoked before. Isabel Saraiva, former chair of the European Lung Foundation, who sadly passed away in 2024, previously commented: As an ex-smoker, I understand that it is tempting for people, who think that it will be easier to stop smoking by substituting cigarettes with e-cigarettes