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We highlight the importance of future nationally representative surveys in Costa Rica continuing to use the CRAFFT screening tool, as doing so will enable longitudinal comparisons and offer valuable insights into whether and how risk patterns have shifted under post-pandemic conditions

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As for whether an increase in e-cigarette use has perhaps led to a decrease in use of other tobacco products, Krech said that WHO could not at this time say whether that has an impact or not. However, he acknowledged that many tobacco smokers are so-called dual-users using both combustible cigarettes and e-cigarettes