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Opposition from anti-tobacco organizations, health and medical associations, and, in particular, a quartet of federal entitiesthe surgeon general, the Centers for Disease Control and Prevention, the National Institutes of Health, and the Food and Drug Administration (FDA)has slowed transition, left consumers disorientated, protected the cigarette trade, and damaged or destroyed hundreds of pro-health businesses

Adults who currently experience symptoms of these disorders smoke more than 44 percent of the cigarettes consumed in the United States (Lasser et al

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Moreover, a research commentary published in Tobacco Control described how nicotine products marketed as tobacco-free could create confusion about whether they violate tobacco-free policies in schools, workplaces, and other locations