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Because in addition to smoking, many factors such as aging, heredity, physical fitness, diet and occupational environment are closely related to these diseases. The counterproposals group fiercely opposed expanded warning labels on packages, particularly graphic warnings that showed images of diseased lungs and other health impacts of smoking

"The main vector of that is menthol cigarettes and flavored cigars." The FDA's proposed rule would ban both, which the agency says will "address health disparities experienced by communities of color." Action on Smoking and Health welcomed the FDA's ban, calling it "a major step forward in Saving Black Lives" and averring that "menthol advertising violates the right to health of Black Americans." Although menthol and nonmenthol cigarettes pose similar hazards, the FDA says menthol makes smoking more appealing and harder to quit

doi:10.1136/bmj.38142.554479.AE

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