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Public health officials found that the proportion of male smokers using hand-rolled cigarettes had more than doubled from 18% in 1990 to 40% in 2013

They found that the results do not negate the inclusion of HTPs within a regulatory framework for indoor tolerable use from exposure to HTP aerosol, unlike cigarette smoke. Youth and nonsmoker uptake Finally, research data from Tottori University, commissioned by the MHLW, demonstrates low levels of HTP use by adolescents compared with cigarettes

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We also factored in annual operating costs (filter replacements and energy use), which vary widely between models