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He noted that federal efforts have usually been a lot weaker than those of states and municipalities on this issue and pointed to the FDA's report last year, which included the "lost pleasure" of smoking as a "cost" in a cost-benefit analysis of the proposed graphic warning labels

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This rise will negatively impact maternal and child wellbeing, which could reverse the gains from maternal and child mortality reduction efforts

[1] 13.7% of all adults (34.2 million people) in the US are smokers (2018) Of these, 15.6% are men and 12.0% are women