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This regulatory distinction reflects a lack of longterm safety data and unresolved questions about their role in effective tobacco control strategies

According to Patel, the binders are more than seven years old, while the filler has been aged for five

Meanwhile, Bloomberg Philanthropies recently announced a $20m (16m) investment to create Stop (Stopping Tobacco Organisations and Products) a global tobacco industry watchdog to help expose more of these practices

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Internationally, New Zealand recently passed a package of laws that caps the number of tobacco retailers in the country and enacted a policy to raise the legal age of sale by one year every year, which has the effect of permanently preventing the sale of tobacco to anyone born after a certain year in the case of New Zealand, no one born after 2008 can be sold cigarettes