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The last two decades have seen the introduction of combustion-free nicotine delivery alternatives that produce significantly lower levels of the harmful components in cigarette smoke, and researchers have begun to assess the impact of switching from cigarettes to these products

The more conservative but broader estimates showed the top two cities with illicit tobacco products were, at 40%, New York, and, at 37%, Buffalo.[30] A still broader estimate produced figures of 59% in New York and 40% in Buffalo

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Nicknamed the Tobacco 21 bill, it raised the purchasing age from 18 to 21, making New York City the largest city to have such a high minimum smoking age