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The rise in vaping among young people and the widespread availability of alternative nicotine products indicate a shift in nicotine use patterns, which could maintain the exposure of younger generations to nicotine addiction and even increase the risk of relapse into smoking, assuming the hypothesis of a gateway effect of these products is confirmed

Counterfeit cigarettes are often more dangerous, containing toxic heavy metals and other contaminants, and some of the billions of dollars moved through cigarette smuggling internationally fund terrorism

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Population Health: Concepts and Methods , Oxford University Press, ISBN 0-19-515854-7

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