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In 1964 the United States Surgeon General's Report on Smoking and Health likewise began suggesting the relationship between smoking and cancer, which confirmed its suggestions 20 years later in the 1980s

JTI and BAT did not respond to questions about dual use of their products

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At the packhouse, farmers laid out the tobacco, graded it, and bundled it into "hands." The last step was to press the "hands" flat before loading them on a truck destined for the tobacco warehouse