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Thus, while these public health organizations could not point to another US city that had adopted a tobacco sales ban and seen tobacco use fall, they had some evidence of a bans likely effectiveness

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One important reason that China Tobacco has retained an upper hand is that Chinas authoritarian shift since 2017 has sharply curtailed public discussion on a range of issues including tobacco control that had previously been considered relatively uncontroversial

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The goal is not to minimize the seriousness of the divides between any of these movements