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These changes represent both opportunities and risks for tobacco companies as they diversify their product ranges and navigate new regulatory environments

"People need to be made aware of the risk of being manipulated by big brands that appeal to the environmental values of consumers to sell them products that are bad for their health." In an earlier, related study, the researchers found that the Natural American Spirit pack design, which also features icons of an American Indian smoking a pipe and a mythological thunderbird, creates misperceptions that the brand is American Indian-owned or grown on tribal land and, in turn, healthier and more desirable

7 Notably, biomarkers of exposure to tobacco toxins were no different than regular cigarettes

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