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Changes in Smoking Cessation Effectiveness from E-cigarette Use E-cigarettes in the UK are increasingly evolving along a "harm reduction tool" pathway, transitioning from a "smoking cessation aid" to a "cigarette substitute." Dual users (daily smokers + daily e-cigarette users) plummeted from 44% in 2015 to 14% in 2025, indicating a significant weakening of concurrent daily dependence on both products

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total tobacco attributable deaths are projected to increase from approximately 5 million per year today to over 8 million annually by 2030 (WHO, 2008)

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Scott Gottlieb said in September that the agency would halt sales of flavored electronic cigarettes if the major manufacturers couldn't prove they were doing enough to keep them out of the hands of children and teens