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As of December 20, 2019, federal law raised the minimum age for tobacco sales to 21 years, with additional enforcement requirements implemented on September 30, 2024

No, says Clive Bates, former director of Action on Smoking and Health, a tobacco control group in the U.K., but the aggregate effect at the population level appears to be negligible given the reduction in smoking initiation during the period of vapings ascendance. And yet the CDC, major tobacco control activists, health advocates, and some researchers continue to sound the alarm about a gateway effect

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Another study evaluating the effect of cigarette smoking on vital seminal parameters which influence fertility showed smoking to cause impaired motility to a higher extent in comparison to the impairment in sperm count [27]