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CDC and the Food and Drug Administration (FDA) are working with state health departments to determine what might be causing the illnesses

The next 38 years would be marked with state bans on smoking in public areas, bans on smoking in airlines, multiple lawsuits against tobacco companies for harming the public, public stigmatization of smokers, a battle to gain control over the regulation of these products, and declining numbers of smokers in the United States

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It influences their complex customs of using and producing tobacco