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Additionally, the CDC found that the greater appeal of cigar smoking among 18- to 29-year-olds may be attributed to the use of flavoring in many brands, and the fact that some cigars are less costly than cigarettes because state and local governments tax them differently

In particular, further investigation is needed to determine if reliance on pack-years is appropriate to guide healthcare policy or for enrollment in clinical trials of COPD, or for other uses, all of which typically rely on a minimum of a 10 pack-year history

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He warned that that without urgent action, England would miss the 2030 'smoke-free' target by at least seven years, with the poorest areas not meeting it until 2044

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