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Once established, the pipe should remain lit with only occasional maintenance puffs

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In Sweden, smoking rates have fallen to just 5.3%,[6] the lowest in Europe, and lung cancer death rates among men are 61% below the EU average.[7] In the UK, integrating vaping into NHS quit-smoking services has halved smoking rates since 2011[8] and is projected to prevent 166,000 premature deaths by 2052.[9] In New Zealand, smoking halved in just six years after vaping and heated products were promoted,[10] with COPD hospitalisation falling by nearly 30% and smoking-related cardiovascular deaths by 20%.[11] Together with Japan, these countries demonstrate that safer nicotine alternatives deliver rapid declines in smoking and real health gains at the population level