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Based on the totality of evidence gathered so far, PMI smoke-free products, while not risk free, have been demonstrated to be a better choice for adult smokers who would otherwise continue smoking cigarettes, with potential benefits for public health.

So why the distinction

Overall, 117 jurisdictions have raised the tobacco sale age to 21, including New York City, Cincinnati, Independence, Mo., and Kansas City, Kan

4, 5 In other countries, especially in Europe, the marketplace is much more complex: In several countries, contraband and counterfeit cigarettes are estimated to represent more than 10% of the domestic cigarette consumption, with the highest being Greece (22% in 2019), followed by Lithuania and Ireland (both 18%), the UK (17%), Latvia, France and Cyprus (all 14%), and Romania (12%)

Smoking during pregnancy also increases the risk of miscarriage and stillbirth

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