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These graphic warnings are needed as the current text-only warnings have become stale and unnoticed since they were last updated in 1984, according to a joint statement of the American Academy of Pediatrics, American Cancer Society, American Cancer Society Cancer Action Network, American Heart Association, American Lung Association, Campaign for Tobacco-Free Kids and Truth Initiative

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While tremendous progress has been made in reducing tobacco use over the last several decades, social inequalities in tobacco use persist, contributing to grave tobacco-related health disparities, he said

To ensure their long-term effectiveness, smoking bans must be accompanied by consistent enforcement and public awareness campaigns [1]