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Studies of Sweden relative to neighboring countries show that embracing harm reduction yields about an additional 0.4 percent per year to the rate of decline in smoking prevalence.[28] Instead, many EU Member States have chosen an opposite approach, suppressing ATPs and undermining their harm reduction potential.[29] Estonia, for example, has particularly stringent restrictions on ATPs.[30] The nation levies an excise tax on e-cigarette fluid (0.20 per mL) and has banned flavored vape products since 2019

Tobacco at the crossroads: the past and future of smoking regulation in the United States

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Food and Drug Administration (FDA)reported that in 2014, an estimated 1.9 percent (280,000) of high school students and 0.5 percent (50,000) of middle school students were current users of snus