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Opponents of tobacco21 might argue that the spike was caused by the age limit increase, and that some studies lend credibility to that idea as restrictions on rarer forms of nicotine consumption, such as e-cigarettes, tend to push people toward combustible cigarettes, which are the most widely available tobacco product.[9] Tobacco21 advocates could point out that Needham was the only town that did not see a spike in youth smoking between 2014 and 2016

Unknown long-term effects : Since vaping is relatively new, the full long-term impact on health is still not fully understood

Tr Staff Report

Hand rolled will kill one in two long term smokers, just the same as all cigarettes. There are more than 4,000 toxic chemicals inhaled when smoking cigarette sticks and hand rolling tobacco, many of which are carcinogenic and poisonous

Communities implementing the CLPP in 2018 reported an average 62 percent reduction of cigarette litter, even greater than the previous years average reduction of 52 percent