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doi:10.1177/0009922817705188 50ProchaskaJJ, BenowitzNL

Understanding how pack size relates to cigarette numbers can provide important information to those either using these products or supporting them, as well as those wishing to become involved in tobacco commerce

One study from the 1990s showed that approximately 50 percent of patients who were followed after inpatient substance abuse treatment died of tobacco-related causes a rate that exceeded deaths from alcohol-related causes (34 percent). Other studies indicate that people with substance use disorders tend to start smoking at a younger age, are more dependent on nicotine, and have a greater risk for some alcohol and smoke-related cancers

This lack of oversight allowed the market to boom