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Interestingly, another shift further down the continuum of harm seems to be underway from snus to nicotine pouches in Norway and Sweden (Murphy et al., 2026): Australia: Analysis of wastewater shows a substantial shift away from combustible tobacco to noncombusted, all while total nicotine consumption remained stable or slightly declining (Wang et al., 2026)

Estimated annual percentage change and percentage change (EAPC) The EAPC is a statistical indicator used to quantify the average annual change rate of health-related indicators in a specific time period, such as incidence rate, mortality, and disability-adjusted life years 22

The film doesn't shy away from the real world horrors of such organizations, and the types of mental, emotional and even physical abuse that can come from the attempt to fundamentally change who a person is, creating a hard-hitting but compelling coming out story

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5 In 2020, states collected $27.2 billion from tobacco taxes and court settlements, but spent only 2.7% of it on prevention and cessation programs