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This community collaboration was created to improve the ability of Native Elders and Knowledge Keepers to develop programs that support First Nations' youth in learning about their cultural meaning and traditional use of sacred tobacco to decrease the use of commercial tobacco in indigenous youth

Europe follows with significant growth due to regulatory backing for reduced-risk products

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We also need continued study of dual users to determine whether they maintain harm reduction over time. Ahluwalia said that because many individuals who use both e-cigarettes and combustible cigarettes will switch back to exclusively combustible cigarettes over time, there is a critical need for interventions that support those who try to switch to e-cigarettes but fail