This underscores the importance of strengthening transparency mechanisms, ensuring continuous monitoring, and expanding access to information to expose these strategies and fully implement Article 5.3 of the WHO Framework Convention on Tobacco Control across all Brazilian government ministries, thereby protecting public health. Mariana Pinho, ACT Promoo da Sade We need to make Big Tobacco pay through any and all means necessary litigation, regulation, sanctions, and anything else we can do to build a healthier community where people come first. Akinbode Oluwafemi, Corporate Accountability & Public Participation Africa (CAPPA) If we only clean downstream, the industry gets profit and communities get all the pollution, clean-up costs, and health harms

Simulation modeling with sensitivity analyses that examine all the states and transition pathways in the state transition model (Figure 3) show that the gateway effect would have to be implausibly large to increase the net public health harm (20
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