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"If it wasn't going to make a difference the tobacco companies wouldn't have spent so many millions of dollars to try and block it," he said

Rallo said that extra tax is meant to stop the small companies from being able to sell cigarettes at bargain prices

However, the exclusion of e-commerce retailers from these programs can undermine their impact," said principal investigator Eric Leas, PhD, MPH, an assistant professor at the Herbert Wertheim School of Public Health and Human Longevity Science at UC San Diego and director of the Tobacco E-commerce Lab

Smoking can cause cancer, strokes and heart attacks and is blamed for 480,000 deaths each year in the U.S., including 45,000 among Black Americans