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Assembly Speaker Toni Atkins (D-San Diego) said supporters overcame significant lobbying by the tobacco industry to approve what she called the most far-reaching package of legislation related to tobacco in more than 50 years. The bills were pushed by a coalition called Save Lives California that included the California Medical Assn., the American Cancer Society and the American Lung Assn., and noted 95% of adult smokers start before the age of 21

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A national tobacco strategy released in 2018 committed to reducing tobacco use to less than five per cent of Canadians by 2035

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