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As the chief health officer of government, I have the duty to see that we do just that. Within weeks, Califanos efforts were being undermined by President Jimmy Carter, who traveled to North Carolina to assure tobacco famers that the government would make cigarette smoking even safer than it is today. As Califanos campaign continued to gain momentum, and after HEW published the most comprehensive indictment yet of cigarette smoking in its 1979 Surgeon Generals Report, Carter fired Califano

Zambia was found to have the highest level of interference, followed by Tanzania, South Africa and Mozambique

This has partially offset declines experienced by the industry within their cigarette and other tobacco product lines

Among the adults who tried to quit smoking that year, more than a half had tried e-cigarettes as an alternative, and more than 20% started using them