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The public health campaign, Wise-Up to Roll-Ups dispels the myths that hand rolling tobacco is more natural and so less harmful than manufactured cigarettes and offers practical, straightforward information to local people through Wise Up pouches . Dr Virginia Pearson, Devons Director of Public Health said: Largely due to the way hand rolling tobacco is marketed, many roll-ups smokers believe that smoking in this way is a healthier and more natural alternative

Adult smoking fell from 14.3% in 2015 to 9.7% in 2022, below both the national average of 11.6% and the rest of New York State at 12.3%

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[37] In Switzerland, the parliament rejected a bill to ban menthol cigarettes