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An Ethical Dilemma While recognizing that the public health goals of tobacco prevention and cessation remain paramount, an ethical question arises as to whether these ads should continue to be hard-hitting or whether public health communication messages should be reframed to try to reduce stigma and blame that could be experienced by the 16 million Americans living with smoking-related diseases [30]

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Tobacco consumption is any amount is said to be harmful

The trade is so huge and the attempts to stop it are ridden with so many obstacles that they are seemingly futile, said Haralambos Tsardinidis, an economist at the Institute for International Economic Relations in Athens

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