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It sounds like a Massachusetts public health miracle. In 2007, nearly one-quarter (23.6 percent) of cigarette smokers in the Bay State were 18-24 years old. By 2017, that number had plunged by a whopping 68.6 percent. Just 7.4 percent of cigarette users were under age 25 — an all-time low.

But then, youth smoking began to rebound, shooting back up to 10 percent in 2018 before leveling out above the previous lows. A state that had led the way in reducing smoking among young people is suddenly getting left behind as rates in other states continue to fall.

What happened?

Massachusetts launched a war on vaping.