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Some toxic effects induced by tobacco smoke, result from direct genetic or epigenetic effects resulting in altered gene functions (for example, cell cycle, DNA repair, and tumor suppressor genes)

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For example, when misleading descriptors on tobacco packaging such as light and low tar were prohibited, the tobacco industry continued to communicate those same misleading health messages to the consumer using colour or other descriptors.12 ,13 Industry tactics to undermine the effectiveness of health warnings on tobacco packaging have included the use of promotional packaging and altered pack size.14 ,15 Drawing on a sample of cigarette packs purchased in Alberta and Nova Scotia, Canada, we describe the industry response to a ban on menthol tobacco products

Nearly 73% of all these nicotine exposures occurred in children ages 1 year and less, suggesting these products are readily accessible to infants and toddlers in the home