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However, implementation has been fragmented and tobacco control remains suboptimal relative to the FCTC standard, with Japan receiving poor (no or minimal policy) ratings in the P, W and E domains in 2018.3 The 2020 Tokyo Olympic and Paralympic Games created social pressure and political will, and the tobacco control movement has been somewhat enhanced through the adoption of additional policies such as raising tobacco taxes and implementing stricter smoke-free regulations

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Photo Luddy/Taylor Connecticut Valley Tobacco Museum Local folks, including many teens, found work here, but tobacco growing is such a labor-intensive project, with a lot of work done by hand, that workers were sought from other parts of the country to work here seasonally

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Our results also indicate that, among the selected tobacco companies, real gross profit per cigarette has peaked and seems to be on the decline, suggesting that these companies are finding it increasingly challenging to offset reduced cigarette sales and escalating excise taxes through net-of-tax price increases.25 Moreover, six of the nine selected companies experienced a reduction in real revenues from 2016 to 2023, with Vector, BAT and Gudang Garam being the exceptions