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Delayed action and timid policy have resulted in tobacco companies becoming more emboldened to devise new and egregious ways to addict youth and sustain addiction among current users. The ALA report points to the steep rise in e-cigarette use among youth with a 20.8% rise in high school students using these products in 2018, a rise from 11.7% in 2017

Nicotine sprays A nicotine nasal spray delivers nicotine to the blood more rapidly compared to other NRT products and is closer to the rate of nicotine delivery of cigarette smoking (Benowitz et al, 2009)

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Such ads are still allowed in print and online media