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Tobacco use continues to be a significant public health issue, with national data showing a 14.1% estimated prevalence of tobacco use among adults 25.9% for men and 3.8% for women and increasing prevalence rates among adolescents

The significant and alarming development of illegal tobacco products has led to a 25% decline in the size of the overall legitimate market and an increase in costs associated with the fight against illegal trade in tobacco, resulting in a complete loss of scale throughout our supply chain, said JTI Malaysia, whose brands are Winston and Mevius

While researching her doctoral dissertation at the University of Maryland, Chen-Sankey said that she found sweet vape flavors can act as a gateway into other tobacco products for young users

According to the 2018 National Youth Tobacco Survey, 78% of high schoolers have used e-cigarettes, as have 48% of middle schoolers

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