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Harm reduction approaches maintain nicotine addiction, which is something most smokers despise and they also pose the risk of exposing young people who dont smoke to harmful products

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Only 39.8% of counties for males and 16.2% of counties for females experienced statistically significant declines in cigarette smoking prevalence between 1996 and 2012, though an additional 57.3% of counties for men and 66.1% of counties for women experienced nonstatistically significant declines over this same period