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We speculate that this was partly a function of the relatively smaller populations in Michigan-Wisconsin border counties they are all in the western part of Michigans sparsely populated Upper Peninsula

During 2019 and 2020, council approved two ordinances that affect tobacco retailers: Ordinance 8340 raises the age to purchase tobacco products to 21 years of age, requires age verification, prohibits the sale of flavored tobacco products designed for or capable of use in any electronic smoking device, and limits the number of electronic smoking devices and related products that can be sold to an individual in a 24-hour period

Digital health platforms such as Healthcare.pro offer tailored resources for diabetes and smoking cessation

The MOE approach was used for risk assessment 18,19