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When the California program followed these principles, the rate of decline in tobacco consumption tripled and the rate of decline in smoking prevalence increased significantly.2-5 When the Wilson administration scaled back the program and shifted the focus to children, the progress slowed or stopped.4-6 Despite all the political problems, in its first eight years the California Tobacco Control Program prevented 2 billion packs of cigarettes (worth $3 billion to the tobacco industry) from being smoked

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Packing cigarettes efficiently while maintaining their integrity is crucial

Conflict of Interest The authors declare that they do not have a conflict of interest

THROMBUS An aggregation of platelets and fibrin, which can cause vascular obstruction

A closer look suggests a topographic map, patches that form landscapes, mountaintops, deserts and seas