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Cigarette smoking continues to decline across the United States, with the most dramatic declines coming in states with historically high smoking rates, according to a study published in JAMA Network Open

While North America and Europe are experiencing steady declines in consumptionroughly 2% annuallydue to stringent regulations and health awareness, the market remains supported by "deep-discount" segments and emerging regions 45

To date, the FDA has authorized the sale of only 41 e-cigarette products, and research indicates that nearly 70% of e-cigarette sales involve unauthorized products

For instance, the most common cigarette pack contains 20 cigs in America