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These trade-offs are especially acute in disadvantaged communities, where the burden of smoking is highest and where cessation services are least available

In the vast majority of counties, males smoked cigarettes at higher rates than females (Figure 4): in 99.0% of counties in 1996 males had a higher cigarette smoking prevalence than females, while in 2012 the same was true in 96.4% of counties

With multiple flavor options, switching between blends keeps the experience fresh without changing brands entirely

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Original German WWI /Post WWI Cigarette Case- A metal case with a small Imperial WWI Iron Cross in the top left corner

Future research directions Better quality data on cigarette consumption are an important first step in evaluating national and global tobacco control interventions, and will contribute to current and future efforts to combat the global tobacco epidemic