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[22] As of 2017, they were not approved by the US Centers for Disease Control and Prevention (CDC) as a smoking cessation product, [8] and in 2020, they became regulated as a tobacco product, despite not containing tobacco

All Pennsylvania local governments are preempted from regulating smoking more stringently with exception to Philadelphia, which initially banned smoking in all city parks, which was later overturned by a Commonwealth court in 2007

In: BMJ, 2004, 328: 1519 Espinoza-Derout, J

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The implications can be far-reaching, as highlighted by a 2006 study into how tobacco industry influence of science and scientists in Germany has been a factor in the countrys opposition to stricter tobacco regulation