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Teen smoking is a particularly worrisome public health concern, because people who start smoking by their early 20s are likely to continue in adulthood

so just because you come across a box which doesnt conform to the updated design standards, it may still be legitimate

Also, you can display the packs and cigarettes smoked in a lifetime - these values usually speak more to our imagination than abstract smoking pack years

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Similarly, TV shows like Mad Men used these alternatives to depict the heavy smoking culture of the 1960s while prioritizing actor safety