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Buck suggests the harsher warnings are necessary to counter the aggressive marketing campaigns of big tobacco companies

But again, it's not evenly distributed, with much higher smoking rates in minorities, LGBTQ, those with comorbid psychiatric disease, substance abuse, etc

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Sales of cigarettes totaled JPY3,781 billion in 2016, but over the past decade, the market has suffered ongoing decline in volume

doi: 10.3389/fmicb.2019.00050

But there was room for further changes to cigarette packs