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While Rankin is not sure cigarette consumption rates have fallen as much as reported, he is convinced that an already diminishing tobacco farming business in states like Kentucky is being hurt by companies buying leaf from other countries

Third-hand smoke or aerosol stays on surfaces like clothes, walls, carpets, and furniture

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"It's an enabling regulation," Zeller says, adding it could open the door later to limits on flavors and advertising

Doctors like Sushrut Jangi, a gastroenterologist at Tufts Medical Center, have seen the effects of CHS firsthand