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Br Med J (Clin Res Ed)

It is precisely the weakness of institutions in LMICs what makes it very hard to implement the top-down government planned tobacco control approach proposed by the WHO, while a legal regulated market solution through lower risk consumer products has much better chance to succeed in decreasing smoking prevalence, precisely because it does not depend on state coercion and intervention The vape prohibition has affected Mexican smokers and vapers, but has it affected the tobacco industry