Introduction Tobacco use is a major cause of preventable death and is currently responsible for more than 8 million deaths per year globally, including approximately 1.2 million deaths through exposure to secondhand smoke.1 Over time, the global prevalence of tobacco smoking has declined from 25.7% in 2000 to 19.8% in 2015.2 The number of tobacco smokers has similarly declined, however, this trend has not been consistently observed across all WHO regions.2 The total number of tobacco smokers has increased in the African, South East Asian and Eastern Mediterranean regions, with increases driven by a growing number of male smokers.2 Africa has the lowest tobacco smoking prevalence among all WHO regions (ranged 10.8%27.3%),2 but is also the region with the greatest potential for growth of the tobacco market.3 The large pool of children and young adults and rising disposable income make Africa an appealing prospect for transnational tobacco companies (TTCs).3 These TTCs are known to take advantage of jurisdictions with relatively weak tobacco regulation and aggressively promote their products on the African continent.4 5 Research showed the overall sales of cigarettes within Africa increased from 165.6 to 238.5 billion sticks between 1990 and 2012.5 Africa has transformed from a net importer to a net exporter of cigarettes, with 62 production facilities in 30 countries reported as of 2017.3 5 Despite 44 out of 47 countries in the WHO African region have ratified the WHO Framework Convention on Tobacco Control (FCTC),6 not all countries are protected by comprehensive and national tobacco control laws.7 For example, an average of almost 60% of youths in the African region are exposed to mass media cigarette advertisements
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The negative aspect of using a vaping device with adjustable wattage, though, is that its possible to set the wattage too high
The risk is about the same
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