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Fundamentally, the public health challenge and the charge to policy development can be framed as balancing the potential use of e-cigarettes as a new technology to reduce the use of combustible tobacco products against the possibility of expanding tobacco use among non-using youth and young adults, long-term former smokers, and other vulnerable populations (e.g., women of reproductive age and individuals with significant comorbidities, including those with mental health problems)

Adults who currently smoked (10.8%) or formerly smoked (6.7%) were more likely to report ever using nicotine pouches compared to people who had never smoked (1.1%)

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But, as with men, once female smokers were hooked and their loyalties claimed by a specific brand then it was back to the drawing board for the advertisers as they tried to find a new market to appeal to

buildings, roads, power supplies) needed for the operation of a society or enterprise