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Cigarettes can still be purchased on the black market, and on the streets of Thimphu, the capital, many young men can be seen smoking

However, enforcement of this can vary, and many states have their own laws that decriminalize or legalize its use

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Yach, the executive director of research organization The Vitality Institute which is owned by the same company funding research at the University of Pennsylvania on e-cigarettes as a stop-smoking tool predicts that e-cigarettes can likely be used as a harm-reduction alternative to traditional cigarettes