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Strengths of this study are the inclusion of packs from nine different countries across four WHO regions and the use of rigorous, standardized protocols to identify retailers, purchase packs, and code packs

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A separatrix approach was employed, utilizing percentage-based thresholds to define seven contamination levels: Absence, Very low, Low, Moderate, High, Very high, and Extremely high (Table S2)

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Vaping is also less harmful than smoking because it has fewer toxins than cigarettes