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On April 28, just days before the FDA released its final ruling deeming e-cigs as tobacco products, the UKs Royal College of Physicians released a 200-page report titled Nicotine without smoke: Tobacco harm reduction which stated their view on e-cigs as a safer alternative to tobacco with great potential in helping smokers quit
Meanwhile, three-pack and six-pack formats target session smokers and bulk purchasers
CONCLUSION Appalachian adolescents show higher use rates across all tobacco products, relative to non-rural adolescents, coinciding with various socio-environmental hurdles 20,21,28,32,92
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