To add icing to the cake, Medical News Today that: "researchers from this latest study say thirdhand smoke is left on surfaces and ages over time, becoming increasingly more toxic. The team suggests second and thirdhand smoke are just as harmful as firsthand smoke."

While research is clearly needed to understand the trajectory of youth use of electronic cigarettes, the Monitoring the Future survey data do not support the CDC's conclusion that these products are serving as a gateway to youth smoking.

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