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By prioritizing enforcement against the products that are most widely used by children, our action today seeks to strike the right public health balance by maintaining e-cigarettes as a potential off-ramp for adults using combustible tobacco while ensuring these products dont provide an on-ramp to nicotine addiction for our youth, Department of Health & Human Services Secretary Alex Azar said in a statement

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Please see the SPIRIT checklist (Additional file 1) for all of the assessment and visit procedures