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Usage is currently low in Great Britain but has increased over recent years

One implication of this finding is that enforcement may benefit from targeted outreach and monitoring at these locations. The study included fieldworker visits to a randomly sampled list of 103 tobacco retailers in the summer of 2017

Higher tobacco excise taxes: We know that taxes work to discourage tobacco use, particularly among lower socioeconomic groups and younger individuals

Attempts were made to contact Werner, but no answer was given either

"Japan to restrict heated tobacco use but give up on indoor smoking ban ahead of 2020 Tokyo Olympics"

There are three likely contributing reasons for changing RRs over time: 1) the changing intensity of smoking over time, 2) decreasing mortality rates in never-smokers and 3) the time-lag from smoking to peak mortality harm