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A 2019 survey of Connecticut high school students found that approximately half (51.6%) of current e-cigarette users reported using cooling flavours, with the odds of using cooling flavours being associated with greater frequency of use and the use of nicotine-containing products compared with non-cooling-flavoured products.4 Similarly, findings from a survey of young adults in California found that nearly half of current e-cigarette users reported using ice flavours most often.5 The same study also found that ice flavour users had increased odds of concurrent combustible tobacco product use, increased frequency and intensity of e-cigarette use, use of disposable e-cigarettes and greater dependence symptoms when compared with users of other flavours.5 These findings align with a study that found young adults who use disposable e-cigarettes with ice flavours reported using the products on more days per month than their peers who use fruit or sweet-flavoured products.11 To date, no published research has assessed the market share or sales trends of cooling flavoured e-cigarettes in the USA

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But when products are evaluated on a per-unit basis the ratio flips