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An estimated 49.2 million (19.8%) or nearly 1 in 5 adults reported using tobacco products in 2022, according to the Centers for Disease Control and Preventions (CDC) analysis of the 2019-2022 National Health Interview Survey (NHIS)

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While some smokers prefer traditional tobacco notes, others seek cooling sensations, aromatic blends, or capsule-based options that allow flavour customisation

Two medical experts said the study sends an important message, especially to young people who might think one form of smoking is less dangerous than another

Concerns over the renormalisation of smoking have been raised by numerous researchers and tobacco control advocates (including [83, 84, 85])

The marketing timeline shifted to interactive ads where consumers broke the ice on billboards