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With the exception of North Macedonia, decreases in affordability in 2018 compared with 2008 are observed in all other countries

April 2018;8:91

(Section 5.5 page 87) Given that in 2016, only 15% of the British public accurately believe that electronic cigarettes are a lot less harmful than smoking and 47% of Americans think vaping is no less harmful than smoking, this statement is designed both to reset perceptions of risk to a level much closer to reality, but also to acknowledge uncertainty in both directions, with the stress on the risk being likely to be even less that 5% of smoking

Nursing environments, as explained earlier, have numerous opportunities to prevent smoking