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Japans laws clearly distinguish between nicotine-containing e-liquids and nicotine-free vape products, which is where much of the confusion comes from

When legislators passed the cigarette tax increase, they also designated where the money could go, spending $5 million annually to prevent and reduce smoking, $5 million for cancer research and the rest on Medicaid costs

Health warnings

WHO Report on the Global Tobacco Epidemic, 2023).Tobacco smoking is a major risk factor noy only for lung cancer, chronic obstructive pulmonary disease (COPD), and cardiovascular diseases, but also significantly contributes to the global burden of TB, particularly in low- and middle-income countries (LMICs) (Gajalakshmi et al., 2003