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Cotinine is a reliable and necessary indicator of nicotine usage and, in the scientific community, is known as a biomarker for tobacco use

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Reviewing primary plain packaging studies in 2015The Pharmaceutical Journal (PJ) wrotethere is now a body of evidence[suggesting] that introducing plain packaging would: reduce the attractiveness and appeal of tobacco products

In fact, in January of this year, Hawaii became the first state to enact a statewide raise on the smoking age. Critics of the law are worried that raising the smoking age to 21 will be difficult to enforce, as kids will find a way to get access regardless

Malden prohibits the sale of all e-cigarettes, except in adult-only retail tobacco stores.10 173 cities and towns in Massachusetts, including Boston, require cigars to be sold for at least $2.50 and multi-packs of 2 or more cigars for at least $5.00.13 125 cities and towns in Massachusetts have caps on the number of tobacco licenses.13 The use of smokeless tobacco and other tobacco products at baseball parks, including Fenway Park, and other professional and amateur sports venues is prohibited.14 Quitting statistics and benefits Quitting vaping and smoking in Massachusetts The CDC estimates 44.8% of daily adult smokers in Massachusetts quit smoking for one or more days in 2019.3 In 2014, the Affordable Care Act required that Medicaid programs cover all tobacco cessation medications.7** Massachusettss state quit line invests $1.25 per smoker, compared to the national average of $2.28.7 Massachusetts does have a private insurance mandate provision for cessation.7 Notes and references Updated August 2021 *National and state-level prevalence numbers reflect the most recent data available