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Despite 182 countries signing a 2005 convention on tobacco control, enforcing policies to reduce smoking had been varied

10.1038/sj.jid.5700492 58 KanamoriH.NakadeY.YamauchiT.SakamotoK.InoueT.YamamotoT.et al (2017)

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Adding to the challenge, tobacco users who have cancer are frequently blamed for causing their illness, a stigma that can impede both a patients ability to cope with a diagnosis as well as research and health care for patients with tobacco-associated cancers

In future years, the state expects to collect more than $2.5 million in additional revenue