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The FDA would have to follow its rule-making process to execute this Congressional mandate. The persistence of illicit trade creates a paradox for public health officials: While cigarette taxes are designed both to generate revenue and discourage smoking, the study's findings suggest they are high enough that a significant portion of the city's estimated 565,000 adult smokers may be circumventing the price increases meant to push them toward quitting

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and Canadian trials showed that a ten-week smoking cessation program decreased mortality from all causes over 14 years later

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