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While the market share for premium brands increased from 33.4% in 2015 to 40.4% in 2018, the proportion of slim cigarettes among all premium brands sold increased from 4.3% to 18.0% during the same period [28, 3639]

This conundrum was best summarized by an article by Patricia McDaniel and Ruth Malone on the consumers perceptions about natural cigarettes: CONCLUSION The tobacco industry is adept at easing smokers health concerns through such product modifications as filters and (seemingly) reduced tar

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1 Although rare, in the most extreme cases, patients might become hospitalized with e-cigarette or vaping use-associated lung injury (EVALI) vaping-associated airway distress syndrome (VARDS)