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While we have made enormous progress, tobacco use remains the leading preventable cause of death in our country, killing more than 480,000 people each year and costing about $170 billion in health care expenses

That review concluded that pictorial cigarette warnings are significantly more likely to draw attention, result in greater processing, and improve memory of the health warning (Ref

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Discussions around including synthetic nicotine explicitly under HB 577s scope or increasing penalties for unauthorized sales are ongoing

doi: 10.1016/S1470-2045(24)00458-3 3

They are made by the manufacturer and usually come in a plain white or brown box, without a cap