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Evidence-based, local, state, and federal population-level interventions including tobacco price increases, public health campaigns, age and marketing restrictions, cessation counseling and FDA-approved medications, and smoke-free laws have the potential to further reduce smoking rates and smoking-related cancer burden in the United States (see Leveraging Policy to Reduce Tobacco-related Illness )

Though the recession may put a damper on smoking, Flen said a higher tax still is needed because it would be permanent

E-cigarettes, it should be noted, deliver nicotine to users in a manner so much safer than smoking actual tobacco that the U.K.'s Royal College of Physicians says that "e-cigarettes are likely to be beneficial to UK public health" and that policy should "enable and encourage smokers to use the product instead of tobacco." "[E]-cigarette use among California adults was about 4 percent in 2013, nearly doubling compared to the prior year," according to the Legislative Analyst's Office, while cigarette smoking has stalled at 12 percent after declining over the years

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