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"It should come as no surprise that West Virginia ranks highest for most smoking-related deaths," the survey states

The study attributes the decline in smoking to state and federal taxes on cigarettes, as well as indoor smoking bans in public spaces

however, disagreement with this point had a positive significant association with using e-cigarettes (OR: 2.81, p -value: 0.002)

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The German Federal Council (Bundesrat), the upper house of parliament, also joined the call for stronger regulation of disposable vapes by urging the government to advocate for a similar ban across the EU.

However, cigarette smoking remains a leading cause of preventable death in Canada [2] and around the world accounting for more than 4 million deaths each year worldwide [3]