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Surveying the assault on truth, Michael Siegel, a physician, former CDC researcher, and professor of public health at Boston University, concluded in spring 2019 that the tobacco-control movement had committed "public-health malpractice by misrepresenting the health effects of vaping." The public has been swept up in an "availability cascade," a term coined by economist Timur Kuran and regulatory expert Cass Sunstein to denote "a self-reinforcing process of collective belief formation." Cascades gain unstoppable momentum as the public hears the same message repeatedly and believes it is true

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Mucin levels, including MUC5AC (mucin 5AC) and MUC4, are elevated [77]

DISCUSSION In our convenience sample of 91 participants from Maryland, recruited between 2018 and 2020, most of our study participants were White (56%), non-Hispanic (63%), men (52%) and had greater than a high school education level (74%)