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As of 2017, 181 countries were parties to the FCTC and seven more (including the US) had signed but not ratified the treaty (FCTC)

So the fact that the companies are calling foul now means they believe the new labels will "get a rise out of smokers," as similar graphic images did in Canada

however, at the same level of consumption, there could also be a detrimental effect on other diseases, such as cancer (1)
