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In-market sales volume of cigarettes, cigarillos, and HTUs, Japan, 2011-2021 The Japanese National Health and Nutrition Survey (NHNS) also shows that a profound decline in adult cigarette smoking prevalence occurred following the introduction of HTPswhile 20% of adults reported smoking every day or some days in 2014 (prior to the introduction of HTPs), smoking prevalence dropped to 13% in 2019 (see Graph 2)

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