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We hope to be able to identify modifiable factors that can help inform regulatory efforts, retailer education programs, and overall compliance and enforcement to reduce and prevent tobacco use consistently among youth and young adults, says Amanda Kong, PhD, MPH, assistant professor of social sciences and health policy at Wake Forest University School of Medicine, based in North Carolina, and an author of the study

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Although smoking hasnt been nailed down as a direct cause, the experts said it would be more prudent to assume this than to suspend judgement until no uncertainty remains. The 10-man committee also declared that research suggests an association between cigarette smoking and cancer of the esophagus and bladder, the crippling lung disease emphysema, peptic ulcers, and premature babies