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The international tobacco industry has changed dramatically in recent years, and this constitutes a two-pronged strategy: first, to shoot down existing tobacco-control regulations and, second, to have a chilling effect on countries that may be thinking about instituting regulations. Shaffer, too, lauds the Malaysian governments proposal, which she says has reportedly met with some favourable reception, including reportedly from Japan, which would be encouraging given that countrys economic strength. Slippery slope

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Yerger, an associate professor of nursing at UC San Francisco who has researched the history of tobacco industry support for African-American groups, said the campaign shows that cigarette makers are continuing to use influential black leaders and their organizations as a front group to promote industry interests.