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Sarawak has the highest adult smoking rate in Malaysia at 28.5%, a significant increase from 22% in 2019, according to the state Health Department. Teenage smoking is also a growing concern, with Sarawak ranking second nationally for tobacco use and first for e-cigarette use among teenagers. The department launched 'Ops Selamat PaPa' to combat this, focusing on education, collaboration, and enforcement of the Control of Smoking Products for Public Health Act 2024. From October 2024 to June 2025, over 5,600 compounds totaling RM1.38 million were issued for related offences.
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