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Court of Appeals was blunt in its assessment of this literature: The Food and Drug Administration (FDA) has not provided a shred of evidence showing that the graphic warnings will 'directly advance' its interest in reducing the number of Americans who smoke. So although the FDA would like the United States to join the 46 other countries that use graphic warning labels, it hasn't happened yet

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The research also indicates that the graphic warnings are especially powerful in discouraging low-health literacy populations from smokingthe one group in which smoking rates have remained stubbornly high over the past few decades

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