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In the U.S., the version used is ICD-10-CM (Clinical Modification), maintained by the Centers for Medicare & Medicaid Services (CMS) and the National Center for Health Statistics (NCHS)

According to their website, "no tobacco or e-liquid product should ever be considered 'safe' [and] we encourage consumers to do their own research regarding vapor products and what is right for them." "E-cigs might be safer than the most toxic delivery method for nicotine, combustible cigarettes, but they are in no way safe

Positive Social Impact Quitting smoking improves social interactions and relationships, as non-smokers avoid the social stigma and discomfort associated with smoking

E-cigarettes hit the market in the early 2000s and have since soared in popularity, especially among teens and young adults