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Risk increased in relation to duration of cigarette smoking up to 40 years of smoking (OR=2.4)

Grandstanding policies like plain packaging have minimal impact because what matters is the product not the packaging. The study also found that smokers were moving away from higher-priced premium brands because packaging was no longer being used to differentiate them from cheaper products

This can narrow the airways, making it more difficult to breathe and increasing the likelihood of snoring

Washington would need to become an Orwellian police state to thwart the illegal product that will pass its borders if it bans and increases taxes on cigarettes