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Although scientific research, both in the United States and abroad, supports that e-vapor products are substantially less hazardous than combustible tobacco products (see, for example, Public Health England's report finding that e-vapor products are 95% less harmful than traditional cigarettes, which was followed by the Royal College of Physicians' ground breaking report lauding the public health benefits of e-vapor products), manufacturers should understand how FDA determines a product's "intended use" and avoid making claims, statements, or taking other actions that might trigger FDA's medical product authority

He points out that the rate of smoking nationally and in California is highest among lower-income people who often must juggle several jobs to support their families

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