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The Campaign for Tobacco-Free Kids added that tobacco use results in $241 billion in health care spending and more than 480,000 deaths each year.

Underage buyers aged 18 to 20 who visited tobacco retailers in New Jersey were able to successfully purchase cigarettes, cigars, and other tobacco products in more than 40% of store visits

Gilman SL, Zhou X (2004)

Change your clothes before holding or feeding your baby: Use a specific dressing gown, jacket, or cover while smoking, then remove it before holding the baby

Other case studies Another study , conducted in 2019 and published in the BMC Public Health, found that plain packaging without health warnings was not rated any more negatively than branded packages

Ultimately, though, nicotine is controversial not because of the limited health risk it poses but because of its addictiveness