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"In recent years, this long-standing taboo has significantly weakened, reflecting broader changes in social attitudes," Gholami notes

In an emailed statement, the ALA cited research showing that graphic warnings are "effective in preventing children from starting to smoke, and motivating current smokers to quit for good." Meanwhile, tobacco companies say they are reviewing the FDA's proposed rule

A haze may develop at peak usage times

One particularly compelling photo, showing an emaciated 42-year Edmonton woman who died of lung cancer, has been repeated from 2012 with a slightly different look, but even that may not deter people from puffing, Cunningham said

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