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Closed systems typically have higher nicotine content than open systems.[30] Thus, legislators could consider establishing a tiered system, where open refillable systems are taxed at a lower rate than closed systems, with different rates designed to equalize taxation and keep it neutral, not introduce unnecessary disparities

The products are manufactured as either chewing gum or transdermal patches

Four states and some communities have raised the age to 19, and at least two towns have agreed to raise it to 21

Conclusions Although smoking prevalence has declined, persisting inequities between smoking prevalence among Mori and non- Mori mean stronger measures are urgently required