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All Pennsylvania local governments are preempted from regulating smoking more stringently with exception to Philadelphia, which initially banned smoking in all city parks, which was later overturned by a Commonwealth court in 2007

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The implications can be far-reaching, as highlighted by a 2006 study into how tobacco industry influence of science and scientists in Germany has been a factor in the countrys opposition to stricter tobacco regulation

[22] As of 2017, they were not approved by the US Centers for Disease Control and Prevention (CDC) as a smoking cessation product, [8] and in 2020, they became regulated as a tobacco product, despite not containing tobacco