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Ryohei Sugata, JTI general manager, attributed this development to a range of issues such as the aging of Japanese society, growing awareness about the health risks associated with smoking, the tightening of smoking-related regulations, and tax hikes. Meanwhile, PM cited Tobacco Institute of Japan (TIOJ) IMS data, which stated a total market share for the company of 25.93% in 2014, down 0.73 percentage points from 26.66% in 2013

Given high rate of exposure (20% of high school students vape), additional reports with larger sample size may offer more conclusive data n Association not demonstrated : retrospective observational study has low potential to identify association between exposure and disease

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