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deeming these products to be subject <br />to FDA regulation,31 may depend <br />on the availability of resources <br />for universal annual compliance <br />checks and enforcement targeted <br />to both traditional and alternative <br />tobacco product vendors. Continued <br />monitoring is needed to assess the <br />impact on the effectiveness of TRL <br />policy within the rapidly evolving <br />tobacco product patterns of use, <br />new national regulation, and poorly <br />regulated Internet sales. <br />ACKNOWLEDGMENT <br />April Roeseler provided useful <br />comments on the development of the <br />article. <br />ABBREVIATIONS <br />ALA: American Lung Association <br />Cl: confidence interval <br />e-cigarette: electronic cigarette <br />FDA: US Food and Drug <br />Administration <br />OR: odds ratio <br />TRL: tobacco retail licensing <br />FINANCIAL DISCLOSURE: The authors have indicated they have no financial relationships relevant to this article to disclose. <br />FUNDING: Supported by grant P50CA180905 from the National Cancer Institute at the National Institutes of Health (NIH) and the US Food and Drug Administration <br />Center for Tobacco Products and by grant IR21HD084812-01 from the Eunice Kennedy Shriver National Institute for Child Health and Human Development at the <br />NIH. No fund ers had any role in the design and conduct of the study; collection, management, analysis, or interpretation of the data; or preparation, review, or <br />approval of the manuscript. The content is solely the responsibility of the authors and does not necessarily represent the official views of the N I H or the US Food <br />and Drug Administration. Funded by the National Institutes of Health (NIH). <br />POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose. <br />REFERENCES <br />1. Centers for Disease Control (CDC). <br />State laws restricting minors' access <br />to tobacco. MMWR Morb Mortal Wkly <br />Rep. 1990;39 (21):349-353 <br />2. Preventing tobacco use among young <br />people. A report of the surgeon <br />general. Executive summary. MMWR <br />Recomm Rep. 1994AMRR-01-10 <br />3. United States Department of Health <br />and Human Services. 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Am J <br />Public Health. 1998;88(8):1193-1198 <br />Downloaded from www.aappublications.org/news by guest on May 7, 2019 <br />PEDIATRICS Volume 143, number 2, February 2019 <br />