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More middle-aged Chinese are dying of heart disease and cancer than Americans, fueled by high blood pressure and smoking that have flourished alongside the communist country's economy, new research suggests

Since the 1950s, smoking rates have fallen in line with actions taken, including legislation on how tobacco products are manufactured, packaged, marketed, sold, taxed and consumed

As they note, the primary effect of punitive policies is to force substance abuse underground and to deter women from seeking drug treatment and prenatal care

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Its the kind of vice your grandma might approve of nicotine free but still likely to get you in trouble ;)