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Its clear that the Commonwealth is struggling with enforcement. According to the NECSEMA, the report illustrates how the states ban on flavored tobacco has not only failed to curb use of these products but has created a robust market for illicit untaxed products and cross-border smuggling

During the last two decades, many nicotine and tobacco products have been introduced with reduced exposure and risk claims 2,3

Weve found that the conversion rate from first-time smoker to daily smoker is surprisingly high, which helps confirm the importance of preventing cigarette experimentation in the first place