Carter's memo defines tobacco products as "any product made or derived from tobacco that is intended for human consumption, including cigarettes, cigars, pipe tobacco, roll-your-own tobacco, smokeless and dissolvable tobacco, and products intended for use in hookahs/water pipes." Electronic nicotine systems, such as e-cigarettes and vape pens, will also be treated as tobacco products
Smoking rates have sharply declined over the past decade from 20.9% of American adults in 2005 to 16.8% in 2014, according to the Centers for Disease Control and Prevention
Together, they account for at least a third of deaths globally
doi: 10.1056/NEJMoa020300 31
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