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Im sure its a disappointment to THR advocates, but what is important now is to figure out how to assess its potential impact on nonusers (especially youth) and current smokers. Im not sure about surveillance mechanisms that could serve this purpose, he continued, but perhaps national survey data could be of some help telling us whether this measure will, in fact, decrease youth uptake of tobacco and nicotine products, and whether it might encourage former smokers who use THR products to return to smoking cigarettes. The result is disappointing to THR advocates but perhaps not surprising

Michael M, Meyyazhagan A, Velayudhannair K, Pappuswamy M, Maria A, Xavier V, Khadimallah MA (2022) The content of heavy metals in cigarettes and the impact of their leachates on the aquatic ecosystem