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As a result, smoking rates decreased by 47%, three times as much in the four years following as rates in towns surrounding Needham, providing some of the first evidence of the impact of T21 policies

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The Justice Department was quick to open the updated applications and has already begun issuing certifications

We observed an improvement in exercise tolerance in participants compared to the initial levels, said Pasquale Caponnetto, another of the researchers

This layered structure of tobacco duties is designed to maximise both revenue and public health impact: Specific duty: 6.33 per pack of 20 cigarettes Ad valorem duty: 16.5% of the retail price (in addition to the specific duty and VAT) VAT: 20% on the final retail price This complex taxation system ensures that even if tobacco companies reduce their wholesale prices, consumers see minimal benefit due to the fixed duty components