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"What we're also seeing is that the rates of decline in smoking prevalence was not consistent across different population groups." He said smoking had declined less sharply in population groups "with lower socio-economic status, First Nations populations, people with mental illnesses and other disadvantaged marginalised groups"

This inaction at the federal level, coupled with the rise of Juul and other vaping products in the late 2010s and early 2020s, led California and Massachusetts to enact bans on flavored electronic cigarettes and combustible menthol cigarettes