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Nursing involvement in community action, helping patients quit, promoting an environment free of tobacco smoke, denormalizing tobacco and electronic nicotine delivery system use, and supporting effective tobacco and nicotine control policies, is essential to optimizing global public health. Talking to your patients about tobacco reduction or cessation doesnt just help their cancer outcomesit can also help their wallets

Data Availability All data are available within the manuscript

So, the cigarette companies there simply moved to producing smaller packets