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These organizations have issued annual reports since the November 1998 landmark legal settlement between 46 states and the major tobacco companies, which along with individual settlements with four other states required the companies to pay more than $246 billion over time as compensation for tobacco-related health care costs

Lister ''When I gave up smoking cigarettes 10 years ago I switched to a pipe - but I didn't like that so I tried a cigar- and liked it.'' She has been smoking cigar ever since

See paragraph 1.E below

But while they eliminate the tobacco leaf, nicotine itself still raises heart rate and leads to dependence