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Such adverse responses could include the following: Relapse from vaping to smoking Migration from dual use back to exclusive smoking Not switching from smoking to vaping in the future Taking up smoking instead of vaping in the future Switching to other substances, such as cannabis Enforcement measures that trigger more smoking via the mechanisms of reducing product choice, compromising appeal, or raising costs will likely do more harm than good

The market perception of quality level, packaging design, and brand fame results in premium products commanding a higher price point

Although this is not the ideal scenario, given these criteria and the robustness of the underlying methodologies, we consider the indirect estimates to be a reliable proxy for assessing cigarette butt contamination levels globally, particularly in a context where harmonized monitoring is still lacking

In many countries, the standard pack size is 20 cigarettes, although smaller pack sizes such as 10 or 12 cigarettes are also available