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Approximately 50% of all individuals currently smoking had vaped at least once, with this proportion increasing to 60% among those with any psychological distress, indicating that dual use of smoking and vaping was especially common among individuals with moderate or serious psychological distress

Some countries in subSaharan Africa, such as Nigeria and Zimbabwe, still have very low published average prices, often near or below 1.50 dollars per pack, but these figures may not fully capture illicit trade and informal markets

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