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Abstract National declines in smoking make it difficult to isolate whether Californias 1988 Proposition 99 which raised the cigarette tax by 25 cents per pack and funded anti-smoking education from January 1989 actually reduced cigarette consumption, because a simple before-and-after comparison confounds the policy with secular trends already pushing sales downward everywhere

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Some warning signs to watch out for include losing interest in other activities, neglecting responsibilities, and depending on it to sleep or relax