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Jidong Huang, senior research scientist at the Institute for Health Research and Policy at the University of Illinois at Chicago, said an age requirement is just one component needed for effective tobacco control policy

A report of Canadian warnings indicated that pictorial cigarette warnings improved knowledge of specific negative health effects of smoking among adolescents (e.g., increased knowledge of bladder cancer, impotence in men, mouth cancer, gum or mouth disease, reduced growth in babies during pregnancy, and strokes) (Ref

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Several factors might explain why these two reports suggested different conclusions, such as patient demographics and adjusted confounding factors