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Nationwide, however, there has been a surge in e-cigarette use in youths, with a 78 percent increase in high school students use from 2017 to 2018, the National Youth Tobacco Survey found
Consequently, farmers often reach for nicotine-containing products to protect their cultivations
Nicotine constricts blood vessels, raises heart rate and blood pressure, and puts extra strain on the cardiovascular system, says Tory Spindle, PhD, an associate professor at Johns Hopkins who studies the behavioral pharmacology of nicotine and tobacco
Tobacco farmers, he noted, were at the bottom rung of the industry and had felt the pinch most acutely, while the middlemen who bought the harvest from farmers remained relatively unaffected