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doi: 10.1001/jama.289.10.1258 22

A law forcing tobacco firms to sell cigarettes in plain packets came into effect in Australia on Saturday in an effort to strip any glamour from smoking and prevent young people from taking up the habit.The new law, the first of its kind anywhere the world, came into force despite a vigorous legal challenge by big tobacco, which argued that the legislation infringed its intellectual property rights by banning trademarks.All cigarettes will now have to be sold in identical, olive-brown packets bearing the same typeface and largely covered with graphic health warnings.A cashier at a Sydney newsagent said many customers said they found the new packaging, which must feature graphic images such as a gangrenous foot, mouth cancer or a skeletal man dying of cancer, off-putting.Sanjid Amatya said smokers were asking to pick and choose the images on their packets, with the photograph of gangrenous toes bothering many consumers, as well as one of a sick child affected by cigarette smoke."Some of them don't care what the picture is," Amatya said from the store in the suburb of Wynyard where he has worked for three years."But some say 'Why did they change the pictures

Adult smoking remains the pre-eminent, urgent public health concern, with 38 million Americans continuing to smoke (2023 data, see Figure 3 below using a survey that covers both adults and youth)

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It will also threaten the energy sector across the Texas panhandle and eastern Colorado, risking increased energy costs for Americans already struggling with high inflation

Funding has been provided by the Wellstar Foundation to support a partnership with the United Way of Greater Atlanta for a CHW, who is trained using a Morehouse School of Medicine education curriculum