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Then theres the Tobacco 21 Campaign which was originally established in 1996 but didnt gain much traction until the summer of 2019, when at the time only eight states had successfully raised the minimum age to 21

The public health ramifications would be significant: It would mean an astronomical reduction or near-elimination of smoking-caused diseases like lung cancer and chronic obstructive pulmonary disease

The absolute number of smokers is declining in the European region, the Western Pacific and the Americas

Institutional review board approval was obtained from the Ministry of Health (protocol number: IRB:23-106 M)

COUNTRY OF ORIGIN: Bulgaria