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While cigarette sales continue to fall, they still accounted for 82% of global tobacco and nicotine sales in 2023, down from 88% in 2018

This may partially explain why HTPs have been so widely embraced

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Other studies suggest that the positive health claims in cigarette advertising made during this period might have had an indirect negative effect on tobacco consumption by giving the impression that protection was needed, thereby reinforcing the health scare (IOM 2001)