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"Also trying to think of novel ways of reaching out to people explaining the risk of smoking in ways they haven't come across, that might try to trigger more of a response than the current packaging warnings which have had their effectiveness reduced over time." He said people who took part in the survey thought individual messages printed on cigarettes could be an effective strategy

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The plan was to get a baseline idea of how young adults on the edge of the cutoff age were being carded in the city, information that could potentially drive future enforcement decisions, said Niru Murali, who participated in the study as part of her undergraduate work in Ohio States College of Public Health

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