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brothers, Albert, Fred and Norman

That translates to 224,000 new smokers a year, according to John Pierce, the lead researcher and a professor in the Department of Family Medicine and Public Health at University of California-San Diego Cancer Center

At that time, e-cigarette use, especially by teens, was rising nationally and public health experts were debating whether e-cigarettes are a safe alternative to traditional tobacco products or are unsafe because they are introducing a new generation of teens and young adults to nicotine addiction

The cultural shift is particularly pronounced among younger demographics, who view smoking with increasing stigma rather than rebellion or sophistication