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High School Students: OTP Use Outpaces Cigarettes in 2018 Solutions Fortunately, states and local communities can take additional steps to prevent tobacco companies from undermining the positive effects of cigarette excise taxes

However, globally HTPs do not appear to be helping smokers quit or even reduce their tobacco use 13

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For example, from 2014 to 2015, total and per person cigarette consumption increased slightly, although both total and per person consumption of all other smoked tobacco products combined fell

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