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The character Giles Talbot in Kate Quinn's "The Rose Code" smoked Gitanes

So you have to be far more culturally sensitive and appropriate in the messaging. With Health Canada having projected a reduction in smoking rates to about 20% of the population in 2005 from 25% in 2001 the contraband issue isn't always seen as a major concern and political considerations become a factor, Callard says

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This matters for many reasons, and is especially important if your organization is focused on value-based care, where improving patient outcomes is critical

But Gen Z-ers didn't grow up in smoke-filled restaurants or during the peak of aggressive anti-smoking campaigns