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According to Erika Sward, the national assistant vice president of advocacy for the American Lung Association, "The tobacco industry has been lying to the American public, suggesting that there were cigarettes that were less harmful

Adam Zemke, D-Ann Arbor, wrote a letter in support of the ordinance, saying it was a "worthwhile public health and economic goal for our state." "As a lifelong resident of our community and someone whose family has a generational history of heart-related health problems, I am particularly proud that Ann Arbor is willing to take this commonsense, progressive step toward becoming the first locality in Michigan to adopt a Tobacco 21 policy," Zemke wrote

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Whereas Section 6 of the COTPA prohibits the sale of cigarettes or other tobacco products to a person below the age of eighteen years

The Canadian Cancer Society and other organizations began advocating for clearer health warnings, pushing the conversation around tobacco use in a direction that hadnt been explored before