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As a result, the tobacco does not slip out as easily and the tubes get more force, which can cause them to tear

Further studies are needed to determine whether and how smoking during pregnancy is related to VLBW births

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Given the well-documented association of exposure to point-of-sale tobacco marketing and initiation and progression of tobacco use among youth and young adults, state and local governments should use their authority to protect their citizens from tobacco and regulate the tobacco retail environment by: Requiring a license for tobacco retailers Expanding the scope of Assurances of Voluntary Compliance (AVCs) with retailers to include the marketing and promotion of e-cigarettes Requiring tobacco retailers to prominently display signs detailing health risks associated with tobacco use and tobacco cessation information Requiring tobacco retailers to carry and offer for sale at least one type of nicotine replacement therapy drug, device, or combination product that has been approved by the FDA for cessation of tobacco use Prohibiting the sale of tobacco products with high nicotine content Limiting the sales of all tobacco products to adult-only stores where persons under the age of 21 are not allowed to enter Limiting the number and location of tobacco retail outlets, including prohibiting tobacco retailers from being close to youth-sensitive areas like schools and parks Sunsetting tobacco retail licenses so that no new tobacco retail licenses are issued and eliminating licenses when a store with a tobacco retail license closes Prohibiting pharmacies from selling tobacco products Setting a minimum pack size for all tobacco products, including cigars Requiring retail stores to keep all tobacco products out of view or behind the counter Banning self-service displays for all tobacco products Prohibiting couponing and other discounting tactics designed to circumvent the impact of tobacco taxes Setting minimum prices for tobacco products Placing restrictions on all advertising in retail stores so that no advertisements of any product are allowed near cash registers and restricting advertisements to a defined percentage of window space

In truth, nicotine is a largely benign chemical