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The US Institute of Medicine in 2015 reported that such a measure would lead to a 25% decline in smoking initiation among youth aged 1517 years, 50,000 fewer cases of lung cancer and prevent 223,000 early deaths in the US ( MLA 21 laws have already been implemented in 14 states and more than 450 cities and counties in the US ( Nevertheless, local data has reported that 7 in 1,000 students from primary to high schools were guilty of smoking and vaping in 2022 ( As an alternative to MLA21 laws, the tobacco-free generation proposal champions the transition from tobacco control to a tobacco free future ( The adverse effects of smoking impact on passive smokers who inhale environmental tobacco smoke (ETS) released by burning cigarettes

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