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The Federal Trade Commission (FTC) measured the sales volume of cigarettes sold by domestic manufacturers to wholesalers and retailers across the country at $173.5 billion in 2022

There are few US federal regulations on e-cigarette marketing, although there is wide variation globally on how e-cigarette marketing is addressed 29

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Instead, strong tobacco policies have not gained traction due to a combination of factors, including lack of political will, powerful tobacco industry interference in legislation, and prevention of local jurisdictions from adopting strong tobacco prevention and cessation measures