clm tobacco hazard ky KMA, KFMC and Foundation for a Healthy Kentucky Announce Partnership to Provide Signage to Tobacco-Free Schools – Kentucky Medical Association The Shrinking Middle Class: A

Mathias RA, Greco TM, Oberstein A, et al

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Special attention is given to the paediatric addiction crisis, driven by flavoured products and aggressive marketing, and to the misleading narrative of safer nicotine. This paper appears at a critical regulatory turning point: the European Commissions revised Tobacco Taxation Directive (July 2025), which for the first time introduces minimum excise duties on e-liquids, heated tobacco, and nicotine pouches

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