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Some of the people prohibited from buying cigarettes legally will do so illegally, whether with the help of a friend born before 2009 or through black markets

Clin Transl Med 2022;12:e902

While there is no evidence that the overall infrastructure is a barrier, there are challenges with the collection of data and entry into standard electronic medical records that limit appropriate identification of high-risk individuals, i.e., heavy smokers and those with a history of smoking (23)

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