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A 2018 study in The New England Journal of Medicine estimated that reducing nicotine levels could lead to 5m fewer smokers in the first year and prevent over 8m tobacco-related deaths by 2100

During this stage, smoking and vaping are often perceived as symbols of maturity or independence ( Systematic reviews have identified three primary strategies for preventing tobacco and e-cigarette use in youth: school-based interventions, media campaigns, and community-based programs ( For adolescents who already smoke or vape, cessation support remains a major challenge