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But despite this increased recognition of the negative environmental impact of the tobacco industry, the Global progress in implementation of the WHO FCTC submitted to COP10 suggests that Article 18 of the FCTC (Protection of the environment and the health of persons) continues to be weakly implemented at national level

It reduces blood flow to the hands and feet, causing skin ulcers, chronic pain, tissue damage, and even gangrene in severe cases

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The state might also have a financial incentive to amend its law and remove the exemption, as the federal government has allocated funds for states to put towards tobacco reduction initiatives, specifically targeting those under 21-years-old from using tobacco