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An evidence review conducted in 2018 by Public Health England (now The Office for Health Improvement and Disparities) found that HTP were likely significantly safer than combustible cigarettes, stating: Compared with cigarette smoke, HTP are likely to expose users and bystanders to lower levels of particulate matter and harmful and potentially harmful compounds.[29] New Zealands government has also highlighted that heated products are considered less harmful than smoked products due to the lack of products of combustion, in a paper outlining proposed cuts to excise duty on HTP.[30] They also stated that HTP offer an alternative to vaping for people who smoke and are struggling to quit using vapes

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