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These graphic warnings are needed as the current text-only warnings have become stale and unnoticed since they were last updated in 1984, according to a joint statement of the American Academy of Pediatrics, American Cancer Society, American Cancer Society Cancer Action Network, American Heart Association, American Lung Association, Campaign for Tobacco-Free Kids and Truth Initiative

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Retrieved May 10, 2023

According to the National Cancer Institute, it has been linked with leukemia and nasopharyngeal cancer