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According to JAMA Network Open research, 5.4% of 10th and 12th graders reported using nicotine pouches in their lifetime up from 3% the previous year

however, the intervals at which agencies publish updated data vary.

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(Source Fischer et al., 2020[3]) Contribution of smoking to the total economic costs of addictions If we consider the costs of tobacco use in relation to those of alcohol and illegal drugs, the share of direct and indirect tobacco costs represents some 54% [4] of the total costs of addictions, according to the Human Capital calculation method, or 51%[5] of the total costs using the Friction Costs method (or 49% if the estimated costs of gambling are also considered[6])