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Where the Directive Falls Short The 2025 WHO/Europe report on tobacco control identifies significant gaps in how EU member states have implemented the directive: Only 8 of 27 countries have achieved fully smoke-free environments Only 4 countries have comprehensive bans on advertising, promotion, and sponsorship Only 6 countries have banned e-cigarette flavours In 14 countries , cigarettes have actually become more affordable since 2014 Perhaps most concerning: nearly one in four 1516-year-olds across the EU now uses e-cigarettes, with rates ranging from 6% in Portugal to 36% in Poland

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State and local governments within Tobacco Nation should enact point-of-sale policies, such as keeping tobacco products behind the counter and tobacco promotional materials above the eye level of children to restrict accessibility of tobacco for children and teens, and prohibiting tobacco sales in pharmacies

World Health Organization, 2025