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As more states look to pass Tobacco 21 to comply with the federal legislation, tobacco control advocates should remain vigilant of Big Tobacco lobbying to include preemptive language in state MLSA legislation, as tobacco companies have a history of throwing their support behind laws that sound good on the surface, but in reality are weak, unenforceable and/or preemptive

These include intestinal ischemia, renal failure, hypertensive heart disease, infections, and cancer of unknown site

International law [edit] According to the WHO Framework Convention on Tobacco Control (article 16) [2] : Each Party shall adopt and implement effective legislative, executive, administrative or other measures at the appropriate government level to prohibit the sales of tobacco products to persons under the age set by domestic law, national law or eighteen

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(a) Exchanged merchandise