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Ultimately all combustible products are associated with similar levels of harm so should be regulated and taxed in the same way to deter their use.19 Data availability statement All data relevant to the study are included in the article Ethics statements Patient consent for publication Footnotes Twitter @JRBranston, @BathTR Contributors ABG, RH, KS, and JRB: conceived the original idea for the paper

Texas moved down seven spots, falling from 27th to 34th, and South Carolina went from 44th to 51st to earn the distinction of the least costly state for smoking in 2025

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