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Impaired Cognitive Function: Chronic tobacco use has been associated with cognitive decline and an increased risk of neurodegenerative diseases such as Alzheimers disease and dementia

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This federal ruling follows 19 states who have already increased the minimum age to buy tobacco products, which include: Arkansas California Connecticut Delaware Hawaii Illinois Maine Maryland Massachusetts New Jersey New York Ohio Oregon Pennsylvania Texas Utah Vermont Virginia Washington Regionally, before this federal mandate, Washington, D.C., and more than 500 cities and towns enacted laws that only persons 21 and over could buy smoking-related products

most recently from the 2017 North American Effie Awards, where truth took home a gold Effie Award in the Influencers category for its #CATmageddon campaign and a silver Effie Award in the Disease Awareness & Education: Advocacy category for its Finishers 2.0 campaign