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It comes from a monitoring project known as Canary because it seeks to act as the canary in a coalmine run by the global public health organisation Vital Strategies

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The illicit trade factoid is a key "go-to" narrative used repeatedly by the tobacco industry to undermine tobacco control efforts across countries in Asia and globally, whether tax increases, standardized packaging, large pictorial health warnings, advertising bans, public smoking bans, or bans/regulations on new and emerging tobacco products, such as e-cigarettes and heated tobacco products

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Studies report that smokers undergoing spinal fusions are more likely to experience failed fusions