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Like Donoghue, teachers around the state are noticing younger people using these devices more often

According to the 2019 Global Burden of Disease (GBD) report, COPD is the third leading cause of death worldwide, affecting over 210 million people globally in 2019 and resulting in 3.3 million deaths that year [3]

These are more of the observant typethe ones who notice somethings off before anyone else

So I think that was probably a major factor in it