raising the tobacco age to 21 Washington Senate Committee Considers Legal Smoking Three out of 4 American

[6] The 4th edition of the American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorder (DSM-IV) had a nicotine dependence diagnosis which was defined as "...a cluster of cognitive, behavioral, and physiological symptoms..." [6] In the updated DSM-5 there is no nicotine dependence diagnosis, but rather Tobacco Use Disorder, which is defined as, "A problematic pattern of tobacco use leading to clinically significant impairment or distress, as manifested by at least 2 of the following [11 symptoms], occurring within a 12-month period." [25] The Cigarette Dependence Scale was developed "to index dependence outcomes and not dependence mechanisms"

The primary reason for using vapes for teenagers is the flavours and taste

It is recommended to wait at least 15 minutes after smoking before using the device

But simply being less harmful than cigarettes doesn't make e-cigs 100% safe, Fiore added