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A global study by Alvarez & Marsal, covering 71 countries over 17 years, found that once illicit trade becomes entrenched, it is difficult to reverse through enforcement alone

For example, the carbon monoxide exposure from IQOS aerosol is comparable to environmental exposure, and levels of acrolein and formaldehyde are 89% to 95% and 66% to 91% lower than from combustible cigarettes, respectively. Still, some anti-tobacco organizations and health advocates reject this approach believing instead that public policy should focus on getting smokers to stop using tobacco products of any kind

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This may be because there are fewer distractions from the day

Thus, wage indexation would seem to be more effective than price indexation for ensuring that tobacco products do not become gradually more affordable over time