While there is no evidence that the overall infrastructure is a barrier, there are challenges with the collection of data and entry into standard electronic medical records that limit appropriate identification of high-risk individuals, i.e., heavy smokers and those with a history of smoking (23)
The Cumberland finish was introduced in 1979 (1980)

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The new law also reduces the number of retailers allowed to sell tobacco from about 6,000 to 600 and decreases the amount of nicotine allowed in tobacco that is smoked