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11 A better understanding of the extent to which states set similar excise tax rates across tobacco products is needed, particularly as new products enter the tobacco market previously dominated by combustible cigarettes

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For some time, the standard narrative was cautiously optimistic: surveys like the Global Adult Tobacco Survey (GATS) and the National Family Health Survey (NFHS-5) showed tobacco use declining

However, while recent taxes were effective in increasing the price of both, single cigarettes may become more widely available, thereby undermining tobacco control by facilitating youth access and cueing smoking behaviour among adults, including those who are trying to quit.23 ,24 The sale of single cigarettes is prohibited in Mexico since 1999, which is in line with article 16 of the FCTC,14 but compliance and enforcement is poor