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This adds up to a stark reality for residents of Tobacco Nation who are in areas of greatest smoking prevalence and with typically lower levels of government spending

Peter Selby, head of the Nicotine Dependence Clinic at Torontos Centre for Addiction and Mental Health, said the warnings on each cigarette could start more conversations about the harms of a public health nuisance that is particularly dangerous for young smokers, adding their brains are not fully developed until at least age 25

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"People around here just don't like the 'tax' word," said Ellen Hahn, a tobacco control expert at University of Kentucky who has struggled for years to raise Kentucky's 60 cents per pack cigarette tax