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However, smoking prevalence and associated ill health continued to rise in the developed world in the first three decades following Richard Doll's discovery, with governments sometimes reluctant to curtail a habit seen as popular as a result and increasingly organised disinformation efforts by the tobacco industry and their proxies

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However, according to a recent announcement since then by the Food and Drug Administration, the law went into effect immediately. An announcement on the FDA website (www.fda.gov) reads: Note: On December 20, 2019, the President signed legislation to amend the Federal Food, Drug, and Cosmetic Act, and raise the federal minimum age of sale of tobacco products from 18 to 21 years