There is a real body of evidence for this: The World Health Organisation has estimated that in low and middle-income countries, like Nepal and Egypt, and in low-income households, about 10% of household expenditure is on tobacco
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E-cigarettes also present an opportunity for harm reduction if smokers use them as substitutes for cigarettes. Its not a ringing endorsement, but its something
Although progress has been made in reducing cigarette smoking among African Americans and in restricting cigarette advertising, the problem remains significant, requiring greater commitmentand actionon the part of health professionals, government agencies, academia, and the business community alike to end the smoking pandemic.