A California study assessing the impact of a statewide Tobacco 21 (T21) law on access to tobacco products and purchasing behaviors found that 82% of e-cigarette purchasers aged 18-20 reported that they were not refused sale in the past 30 days despite being underage
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from questionable sources.[22] In addition to tax evasioncosting states billions in lost tax revenueblack market e-liquid and cigarettes can be extremely unsafe.[23] Last year, stories about serious pulmonary diseases have prompted the Food and Drug Administration (FDA) to publish a warning about black market THC-containing liquid (the psychoactive compound in marijuana)
The American Journal of Medicine
