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The FDA would have to follow its rule-making process to execute this Congressional mandate. The persistence of illicit trade creates a paradox for public health officials: While cigarette taxes are designed both to generate revenue and discourage smoking, the study's findings suggest they are high enough that a significant portion of the city's estimated 565,000 adult smokers may be circumventing the price increases meant to push them toward quitting

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Although none of the participants was diagnosed as hypertensive, a proportion of them had high-normal or higher BP levels at baseline

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