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More shocking still is another JAMA publication from 1991 which revealed that 91.3% of 6-year-old children were able to correctly match Old Joe with a picture of a cigarette, nearly the same number of children as were able to match Mickey Mouse with the Disney Channel logo (4)

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Safer than other tobacco products is driving market growth, with a trend towards product innovations in e-cigarette However, presence of substitute products poses a challenge

For instance, some report that vaping lacks the authenticity and ritual satisfaction associated with smoking, leading them to alternate between both products

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