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Use of electronic (e) cigarettes appears to lead to substantially higher costs and excess use of healthcare services in the USA, suggests new research published in the journal Tobacco Control. Popularity of e-cigarettes as an alternative to traditional cigarettes and other tobacco products has grown in recent years with current use among young adults increasing from 2.4% to 7.6% between 2012 and 2018 in the USA, while e-cigarette prevalence among all adults remained stable and was 3.2% in 2018.