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While short-term ENDS use may be less harmful than combustible tobacco, harms of long-term use, levels of safe use, along with other variables are unknown, supporting the need for more evidence-based research and product regulation

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The report also found big regional differences in the consumption of illicit products, with the North including north-east England, Yorkshire and the Humber, and the Midlands all above average for counterfeit and contraband (smuggled) consumption

These restrictions effectively banned nicotine vapes, however the regulation was rarely enforced, and importation for personal use was permitted

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