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Policy Interventions: Governments should implement and enforce comprehensive tobacco control policies, including higher taxes on tobacco products, graphic warning labels, advertising bans, and smoke-free legislation

Data analysis were performed by SPSS 22.0 (SPSS Inc., Chicago, IL, USA)

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The Japanese were particularly surprised to see the Portuguese smoking pipes and spitting out smoke and would have exclaimed: The Southern Barbarians have a fire in their belly! Tobacco was quickly adopted by the Japanese people by the end of the sixteenth century, the Kerisu or Smoking Pipes were used as the only way to smoke tobacco in Japan and it would remain that way for the next three centuries, until the Meiji Restoration (1868), when cigarettes arrived in Japan and became very popular