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collections from cigarettes decreased an estimated $52 million, and excise tax revenues fell nearly $192 million, similar to forecasted projections

doi:10.1161/jaha.118.009424 Ottawa Model for Smoking Cessation

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Tobacco smoking is well known to be a major risk factor for various cancers, lung and cardiovascular problems, and is also linked to other health problems, such as complications in pregnancy, low sperm count in men, oral problems, and increased likelihood of cataracts