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While some regulatory approaches may need to adapt to the nature of the product and retail environment (for example, warning requirements for cigars sold as unpackaged single sticks), there is no evidence to support exempting a combustible tobacco product from common sense regulations such as ingredient listings, limitations on flavors, restrictions on marketing to youth, and product standards that would reduce the appeal, toxicity, and addictiveness of the product

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Accessed 27 Jan 2017 Royal College of Physicians (2016) Nicotine without smoke: tobacco harm reduction

A CDC data brief released in January showed that, between 2013 and 2015, West Virginia and Kentucky had infant mortality rates higher than the overall national rate