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They also developed cigarette-rolling rituals and saw the sticks they created as personal creations that provided them with social cachet.'' Otago's professor of public health, Richard Edwards, published a letter in medical journal BMJ in 2014 saying evidence showed RYO cigarettes ``are at least as hazardous as any other type of cigarette'' and pointing to animal research suggesting they were more addictive

Journal of Applied Physiology, 124 (3), 573582

The 2025 report thus presents a dual picture: one of impressive policy momentum and stagnant exceptions