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I don't think [this pictorial] is effective (Female, smoker) the image [Figure 1, pictorial 4] gives the feeling of being watched, it awakens a change in the self it makes you feel that you are doing something bad. (Male, smoker) Pictorials showing inner organ pathologies such as brain hemorrhage (Figure 1, pictorial 5) and various lung deformities were perceived as less disturbing

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the most successful efforts efforts to render tobacco less harmful have been those involving mechanical means

Factors like inconsistencies in smoking habits and inherent limitations in the calculation impact the reliability of this metric