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But lifestyle-related risks, from smoking to diets high in salt and low in fruits, are killing millions.

Frances environment minister said last year the country was set to charge tobacco manufacturers 80m annually to clean up the estimated 23bn cigarette butts littered each year across the country while governments in the Gambia, Chad and Benin have imposed environmental taxes of up to 4% on packs of cigarettes

This is a promising turnaround after several surveys found a rapid rise in youth use of e-cigarettes in recent years

To date, the Food and Drug Administration has only granted marketing authorization to 23 tobacco-flavored e-cigarette products and devices that may be lawfully sold in the United States