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Subsequently, Ploom, launched by Japan Tobacco, and glo by British American Tobacco a couple of years later was soon available throughout the country.1 In addition, components in the aerosols from HTP are reported to contain nicotine levels that are slightly lower or similar to those in conventional cigarettes, but with relatively higher concentrations of propylene glycol, glycerol and acetol.2 3 It is widely accepted that HTPs do not serve as a means of harm reduction.4 Awareness of the harms of smoking strongly influences smoking cessation behaviour.5 A previous study, using monthly retailer panel data from various prefectures in Japan, documented that the introduction of IQOS likely reduced cigarette sales.6 It is possible that some conventional cigarette smokers switched to HTP for the purpose of harm reduction without giving up nicotine, which may have reduced the number of people receiving smoking cessation therapy (SCT)

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