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In this case, explained Matthew Farrelly, director of the Office of Science at the FDA's Center for Tobacco Products, "the strength of evidence of benefits to adult smokers from completely switching to a less harmful product was sufficient to outweigh the risks to youth." The FDA is applying a standard established by the Family Smoking Prevention and Tobacco Control Act of 2009, which says the agency should approve new nicotine products when they are "appropriate for the protection of the public health." The agency is supposed to take into account "the risks and benefits to the population as a whole, including users and nonusers." That, in turn, entails considering "the increased or decreased likelihood that existing users of tobacco products will stop using such products" as well as "the increased or decreased likelihood that those who do not use tobacco products will start using such products." In the ENDS context, as Farrelly's comment reflects, that evaluation comes down to weighing the benefit of a given product in helping adult smokers quit against the risk that it will appeal to teenagers

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Local governments are becoming more cautious: when the southwestern city of Chongqing introduced smoking restrictions in 2020, they were weaker than earlier rules, allowing designated smoking areas in hotels and bars

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