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This data indicates a continuous reduction in the global smoking prevalence over nearly three decades, reflecting the effectiveness of anti-smoking campaigns and policies implemented worldwide

(Female smokers didnt switch to the same extent, which illustrates that price differentials alone are not always sufficient to achieve public health goals.) This strategy has not been embraced in the United States, where prohibition-minded lawmakers, lobbyists, philanthropists and organizations operate a piecemeal tobacco control agenda that ignores harm reduction in favor of a myopic focus on the youth vaping epidemic, despite the fact that youth vaping rates are falling