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We additionally adjusted for diabetes (self-reported, coded dichotomously), other cardiovascular disease (any cardiovascular condition excluding diabetes and high blood pressure, coded dichotomously), alcohol consumption (four categories: never drank, ex-drinker, drinks within guidelines, drinks beyond guidelines), and physical activity (four categories based on the Chief Medical Officer recommendations: meets recommendations, some activity, low activity, very low activity)

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227 Notwithstanding a population of 100 million cigarette smokers and an annual death toll of over 800,000, the government appears to be paying more heed to the threat posed to its industry from the likes of Philip Morris and JUUL who had both planned to launch products in the country

In 2014, PMI introduced IQOS only in Japan and Italy and was available in 37 countries by August 2018