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Over 80% of the 1.3 billion tobacco smokers worldwide live in low- and middle-income countries 7,8 and tobacco smoking is a critical health issue in Sri Lanka, claiming over 20000 lives each year 9

4, 5 According to the FDA nearly all youth who started using e-cigarettes did so with a flavored product

Journal of Herbal Medicine

For example, while HTPs, to some extent, suppressed urges to smoke,6870 their sensory properties and ease of use are generally rated lower than conventional cigarettes.20 71 72 However, ENDS, HTPs and ONPs have common characteristics that may increase their appeal, particularly in high-income countries with well-established tobacco control programmes, including product regulation and public information about the risks of cigarette smoking