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Through its review of the scientific literature, as well as the Agency's science-based, iterative research and development process (described in sections V and VI), FDA determined that having warning statements focused on less-known health consequences of smoking accompanied by photorealistic images can promote greater public understanding of the risks associated with cigarette smoking, especially given the unnoticed and invisible 1984 Surgeon General's warnings currently used in the United States (see section V.A)

There are still an estimated 44 million Americans who smoke, or about 20% of the U.S

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Yet, there is a vapor produced that must be expelled after inhalation, just like with a common cigarette