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A recent EU study showed a 10 per cent increase in sales of heated tobacco products in more than five member nations, while heated tobacco products exceeded 2.5 per cent of total sales of tobacco products overall across the region

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Main probable causes for this phenomenon are the high overall mortality rates due to economic and social conditions and the high prevalence of menthol among African American smokers, which causes them to be more addicted and quit less, health policy researchers at the University of Michigan noted in a 2021 report in the journal Tobacco Control

[2] A separate tobacco industry report from 2024 suggested that in 2022, Manchester accounted for 1.4% of total manufactured cigarettes in Australia, which rose to 4.6% in 2023