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Despite the consistent, decades long national decline in cigarette smoking, there is considerable heterogeneity across US states in both rates of decline of cigarette smoking and in increases of exclusive vaping, which offers opportunity to identify potential public health interventions for both of these trends

Prevention includes proper ventilation in areas where phosphine is used, along with strict adherence to safety protocols and use of PPE

This work was supported by NIH grants R01ES029442-01 and R01 AI135803-01, VA Merit grant CX000104, the Cytometry and Cell Sorting Core at Baylor College of Medicine with funding from the NIH (AI036211, CA125123, and RR024574), the Metabolomics Core and the Integrated Microscopy Core at Baylor