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In this Tuesday, Sept. 3, 2019, file photo, a salesman at a vape shop exhales while using an e-cigarette in Maine. On Thursday, Sept. 19, 2019, the U.S. Centers for Disease Control and Prevention said 530 confirmed and probable cases have been reported from 38 states and one U.S. territory. (AP Photo/Robert F. Bukaty)

In this Tuesday, Sept. 3, 2019, file photo, a salesman at a vape shop exhales while using an e-cigarette in Maine. On Thursday, Sept. 19, 2019, the U.S. Centers for Disease Control and Prevention said 530 confirmed and probable cases have been reported from 38 states and one U.S. territory. (AP Photo/Robert F. Bukaty)

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