It doesnt include e-cigarettes or vapes, which the FDA says would need to be proven safe and effective for smoking cessation and regulated as a drug product. Jackler and Ling think this push to lump nicotine and caffeine together is part of an ongoing effort to downplay the risks of e-cigarettes
For example, oxidative stress-induced damage to neural crest cells can result in congenital heart defects, neural tube defects, and craniofacial abnormalities (Table 2)
Possible harm reduction While not directly risk-free, there are studies to suggest that heated tobacco products expose users to significantly fewer harmful chemicals than cigarettes
In 2012, after a series of court battles, Brazil became one of the first countries in the world to fully ban flavored cigarettes, wanting to minimize the demand for cigarette products and curb smoking in the country, particularly among children
The author might be implying that the US has a strong health communication system and that citizens had been made properly aware that the use of tobacco and smoking cigarettes is not healthy