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"This will be a dramatic change in what a cigarette package looks like, no doubt about it," Hamburg said, later adding: "It will change the consumer response to a package of cigarettes, but frankly, that's what we want." Thomas Glynn, director of cancer science and trends for the American Cancer Society, said the old labels have been virtually invisible because they're small and have been around for so long

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Raising the tobacco purchasing age to 21, for instance, took 13 years to go from a local ordinance in Needham to a statewide law in 2018

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