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It is very interesting to see how smoking has developed throughout history

The Institute of Medicine said the benefit to public health depends on the degree to which local and state governments change their policies. Overall, in the absence of transformative changes in the tobacco market, social norms and attitudes, or in the knowledge of patterns and causes of tobacco use, the committee is reasonably confident that raising the (minimum legal age) will reduce tobacco use initiation, particularly among adolescents 15 to 17 years of age

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Economic burden is measured through direct healthcare costs and indirect costs such as productivity loss due to illness and premature death