Over time, this irritation can result in more severe vocal cord issues
The ITC evaluation study examined 4600 Canadian smokers at two points in timein 2018 (before plain packaging) and in 2020 (after plain packaging)
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Back then, smoking was still permitted in restaurants, and even though I was a non-smoker, several of my friends had the habit
Morris Coats, A Note on Estimating Cross-Border Effects of State Cigarette Taxes, National Tax Journal 48:4 (December 1995): 573-584, ntj-v48n04p573-84-note-estimating-cross-border.pdf?v=%CE%B1&r=35923133871196367
According to President Obama's Council of Advisors on Science and Technology on H1N1, "A plausible scenario is that the epidemic could cause between 30,000 and 90,000 deaths in the United States." That puts the comparison of real deaths of 443,000 smokers to a "war games guess" of 30,000 to 90,000 for the H1N1 influenza for which the government recently declared a Health Emergency