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Overall, 43% of respondents are more negative than the previous quarter in their outlook for the total tobacco/nicotine category in the last few months, citing economic constraints on the consumer, pressure on discretionary incomes, regulations, and tobacco list price increases driving consumers to trade down to cheaper products or exit the category

No studies were excluded based on the sample size, participant socioeconomic status, country of origin, or presence or absence of a comparison group

Both syphilis and congenital syphilis are included in PAHO's Elimination Initiative, which aims to end more than 30 diseases and related conditions by 2030

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