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claims that the nicotine level makes their hearts beat faster and increases their blood pressure

Regional Comparison: Americas Tobacco Labelling Countries Considering Plain Packaging According to the Canadian Cancer Societys 2025 report, several countries in the Americas are formally considering plain packaging: Colombia Costa Rica Panama Mexico How the Americas Compare Globally The Americas region includes both global leaders and laggards in tobacco labelling: Global leaders from the Americas: Canada ranks 18th worldwide for warning size (75%) Uruguay ranks 14th (80%) Regional challenges: United States ranks 173rd (tied for last) Several Caribbean nations have no picture warnings The Canadian Cancer Societys October 2025 report documents 25 countries in the Americas with picture warning requirements, including Argentina, Bolivia, Brazil, Canada, Chile, Colombia, Costa Rica, Ecuador, El Salvador, Guyana, Honduras, Jamaica, Mexico, Nicaragua, Panama, Paraguay, Peru, Saint Lucia, Suriname, Trinidad and Tobago, Uruguay, and Venezuela

Under this view, the illicit cigarette market has grown to a size that the independent companies do not have the production capacity to meet and their role is being exaggerated by the multinationals
While vaping can help smokers quit traditional cigarettes, studies show nonsmoking youth who start vaping are three times more likely to begin smoking tobacco, and 87% of young users prefer fruit flavors.
Footnotes No other authors reported financial disclosures