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According to SUCRA and P-score, dual use ranked highest for stroke risk (SUCRA=0.92 and P-score=0.93), followed by cigarette use (SUCRA=0.77 and P-score=0.76), e-cigarette use (SUCRA=0.45 and P-score=0.45), and former cigarette smoking (SUCRA=0.28 and P-score=0.29)

The Lung Association remains extremely troubled about the rapid increase of youth using these products and has repeatedly called upon the Food and Drug Administration (FDA) to increase their oversight and scrutiny of these products to protect kids

1, are the top multinational cigarette makers and three countries Ukraine, Honduras and Dominican Republic whose legal fees are being paid by the industry

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Consumption By Country The countries with the highest volumes of consumption in 2024 were the United States (1,942B units), China (1,776B units) and Brazil (425B units), together accounting for 45% of global consumption