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For the past 35 years, cigarette packages and advertisements have carried one of the same four warnings from the Surgeon General, noting health damage like lung cancer, heart disease and emphysema

196). [p.37] In addition to efforts to prevent and treat cigarette smoking, there was advice from the Surgeon General, the President of the American Medical Association, and the Consumers Union that switching from cigarettes to cigars or pipes was a useful option for those who would not quit tobacco completely, and the sales of cigars boomed [8]

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Therefore, based on Shanahan and Elliott [4] it can be suggested that grater is the size of the ad, the grater is its impact