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The authors said their findings suggest that nitazenes are being imported into Sierra Leone from elsewhere and that the substance being sold as kush in Guinea-Bissau was of similar chemical composition to that found in Freetown

Continued surveillance of youth tobacco product use patterns and implementation of comprehensive tobacco control strategies, regulations and enforcement are important for preventing and reducing tobacco product use by youths and associated adverse health outcomes, including a potential lifetime of nicotine addiction, the researchers wrote

A CDC report looking at a tobacco use reduction program embedded in HIV health services in Michigan recognized an increased rate of quit attempts and a significant reduction in tobacco use

These changes diminish overall well-being and quality of life

Jabba, Ph.D., a senior research scientist at Duke and lead author of the study, measured whether cigarettes purchased in the two states with bans contain chemicals that activate the cold/menthol receptor, which senses environmental cold temperature and is activated by menthol

Nicotine pouches are a newer product