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We hope future regulatory decisions will be informed by upcoming longitudinal studies examining patterns of use, smoking cessation outcomes, and continued surveillance of HTP user characteristics, as well as by epidemiologic studies and randomized trials that better assess the health consequences of HTPs

In the letter, which was provided to OCCRP by an industry expert and has not previously been made public, China Tobacco even attacked the science proving that smoking is harmful

Nicotine is one of the many thousands of chemicals found in cigarettes, and it is incredibly addicting

We also did not compare the sociodemographics of the samples against the norm for each country, with sample bias potentially affecting the generalisability of the findings to each country and also to countries not involved in this study