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Hyperpigmentation of the lips and gums is usually seen in chronic smokers

Additionally, smoking imposes substantial economic costs on healthcare systems, costing the US around $170 billion in direct cost for medical care and over $156 billion in indirect costs due to productivity loss, including $5.6 billion in lost productivity among nonsmokers who suffer from smoking-attributable conditions because of involuntary exposure to secondhand smoking (Department of Health and Human Services, 2014

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These were normally sold in disposable foil or paper packets, which is why few survive today despite the fact that millions that were produced

"There is also the small problem of a plain packaging ban being illegal, according to international treaties the UK and others have signed." Anti-smoking organisations, however, said that citing the illegality of plain packaging is a standard tobacco industry line and is disputed by independent legal experts