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One such battle is being waged in Togo, where Philip Morris International, a company with annual earnings of $80 billion, is threatening a nation with a GDP of $4.3 billion over their plans to add the harsh imagery to cigarette boxes, since much of the population is illiterate and therefore cant read the warning labels

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9,10 The increased use of ENDS by youth is occurring more rapid than in adults, with national surveys showing 1% to 5% of adults using ENDS, compared to 14% to 16% of high school students