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INTRODUCTION Patterns of tobacco use are shifting rapidly in the US and worldwide, with the growing availability of new products, including e-cigarettes (here referred to as vapes) 1,2 alongside widespread dual- or poly-cigarette tobacco use 3

Although initial plans did not differentiate between locals and tourists, ensuring that everyone was charged a duty on tobacco products, the Maldives government has now made an exception for tourists by reinstating a duty-free allowance for personal tobacco use

However, the reasons for not following international common practice are complicated

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There is also the factor of AM flux and turnover that may contribute to lack of dose effect at very high CS exposure levels