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The rule states that while cigarettes cause the largest amount of harm to public health in the United States, limiting the proposal to only cigarettes could result in users shifting to other similar combusted tobacco products, which would reduce the efficacy of the nicotine standard

In the 2010 Tobacco Use Supplement to the Current Population Survey, 39.0% of all menthol smokers and 46.8% of African American menthol smokers reported that they would stop smoking if menthol cigarettes were not available.7 A US survey of adolescent and adult smokers found that among the 36% who were menthol smokers, 35% reported that they would quit smoking if menthol were removed from cigarettes.8 A recent study using expert elicitation9 predicted that within 2 years after implementation of a US menthol cigarette and cigar ban, total combustible prevalence among menthol smokers aged 3554 years would decline by about 20% from 75% to 55%, with about 10% switching to novel nicotine delivery products such as e-cigarettes

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The first serious crackdown came under Sultan Ahmed I in 1609, banning the sale and use of tobacco due to its interference with work and public life

Over time, factors like changes in competition, consumer preferences, or income levels can shift a products position along this spectrum so continuous monitoring is more valuable than static classification

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