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"Society and large institutional investors such as banks and pension funds, which represent 85% of investment in publicly traded tobacco companies, have the leverage to push tobacco company management to drive measures that greatly improve health." Industry Progress in Tobacco Harm Reduction is Not Sufficient In 2019, 13 of the 15 tobacco companies in the Index generated at least 95% of net sales value through high-risk tobacco products including cigarettes

The assessment of driving factors and potential improvements was performed using decomposition and frontier analysis