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WHO said that 88 countries have no minimum age at which e-cigarettes can be bought and 74 countries have not implemented any e-cigarette regulations

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Main probable causes for this phenomenon are the high overall mortality rates due to economic and social conditions and the high prevalence of menthol among African American smokers, which causes them to be more addicted and quit less, health policy researchers at the University of Michigan noted in a 2021 report in the journal Tobacco Control

Passive smoking , on the other hand, often has an even greater impact on health, and it is not always immediate