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But there has been little time to research the long-term health effects of the devices, and their widespread use among teens has been called an epidemic that threatens to hook a new generation on nicotine

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Dimensions: 5315 x 3543 px | 45 x 30 cm | 17.7 x 11.8 inches | 300dpi Date taken: 18 August 2015 Photographer: jader alto More information: This image could have imperfections as its either historical or reportage

The World Health Organisation (WHO) has played a major role in this shift, recommending that countries apply at least a 75% tax rate on tobacco products to cut smoking rates and improve public health

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The top five export states for smuggled cigarettes are Wyoming (55%), Virginia (48%), Delaware (38%), New Hampshire (33%) and Idaho (28%)