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Asia Pacific leads with approximately 39% market share in 2025, driven by Chinas CNTC controlling the worlds largest state tobacco market, South Koreas KT&G Esse brand dominance, Japans high-value konbini retail capsule distribution, and Southeast Asias largely unregulated flavor environment enabling full menthol, mint, and fruit capsule product portfolios from PMI, BAT, and JTI

Peer influence is rarely harnessed formally for prevention, though pupils often act independently to discourage peers from smoking

As a result, this year the Lung Association added a new state grade category for flavored tobacco products in State of Tobacco Control 2021

There is no state law that requires an assessor to be certified, but a certified assessor must sign off on and approve each towns grand list annually

Dual smokers had significantly lower BMIs than ex-smokers (p=0.024)

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