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It's vital that support is provided within communities so as to prevent a substance misuse issue escalating and to break down the stigma associated with seeking help." Join our commenting forum Join thought-provoking conversations, follow other Independent readers and see their replies Comments

They are considered a potentially less harmful alternative for adult smokers, but remain a concerning gateway to smoking for young people

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How It Compares to Double Happiness Double Happiness carries strong emotional and ceremonial value

As with the cigarette tax history we recount, the results of the econometric analysis suggest certain limitations on policymakers' efforts to improve public health and maintain a reliable revenue stream through tobacco taxation policy