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From 1990 to 2021, high-income North America, Western Europe, and Australasia showed the most significant decreases in ASMR and ASDR

In response to these increasingly popular taxes that have shown some effectiveness, reducing cigarette consumption by 4.6% in Colombia, for example, tobacco companies resorted to commercializing their products in unconventional ways in order to avoid the tax burden

However, they are not without controversy, as health risks and regulatory measures continue to impact their availability and use