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only 13.2% of ever e-cigarette users were able to successfully quit combustible cigarette smoking, while 22.2% of e-cigarette users started or restarted smoking combustible cigarettes.[27] Nonetheless, e-cigarettes may provide a viable harm reduction strategy at the individual level for smokers who are able to successfully transition partially or exclusively to e-cigarettes.[24] However, this is likely most effective if reviewed on a case-by-case basis rather than as a general recommendation for smokers not intending to quit because the data do not currently support the use of e-cigarettes as a population-level harm reduction intervention
Policy changes like greater spending on tobacco prevention and cessation and higher excise taxes must be paired with quitting support to be effective
Menthol, a flavor additive with a minty taste and aroma, interacts with nicotine in the brain to enhance nicotines addictive effects, and the combination of menthols flavor, sensory effects and interaction with nicotine in the brain increases the likelihood that young people who start using menthol cigarettes will progress to regular use, according to the FDA
