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Only a few states have passed legislation that dedicates a portion of cigarette taxes to reduce cigarette smoking and other forms of nicotine addiction

Dimensions: 1871 x 2790 px | 15.8 x 23.6 cm | 6.2 x 9.3 inches | 300dpi Date taken: 2004 Photographer: Asmik Ace/Smokescreen Inc

PMID 29852054

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However, it is also shaped by factors outside the control of the manufacturer and the FDA, including state-level regulations and taxation, poor-quality research and accompanying university press releases, misleading statements from academics and activists, distorted risk perceptions, alarmist media coverage, teenage fads, and uninformed physician advice