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Iowa became the first state to adopt a cigarette excise tax in 1921, and every state had followed suit by 1969

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He did continue to smoke a pipe occasionally for another decade or so after that, until eventually it became clear that any and all tobacco use was dangerous

Yet questions about the efficacy of NRT often provoke intense debate within the tobacco control community, with clear implications for countries with high smoking rates which are yet to implement comprehensive tobacco-control regulations