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Still, the study from Pittsburgh-based Management Science Associates (MSA) released last fall, says discount cigarettes will be more affected than premium brands

"Inspired by the success that indexes focusing on other sectors have demonstrated, the goal of the Tobacco Transformation Index is to stimulate external pressure and the industry competition needed to take combustion out of the cigarette market, accelerate change, and lower the unnecessary disease, death, and misery it causes so many people," said Dr

It also increases the relative risk for stillbirth death by 25% to 50%

There's real budget behind the packaging, and an expectation that production standards get defined properly

However, its important to note that state laws may have additional restrictions or requirements