We also refer to these companies as the Big 4.* The longer answer: The Big 4 and their subsidiaries, or branches of their companies that they operate around the world, are the force behind the tobacco epidemic that currently kills more than 8 million people every year
2011, MVP Global, London (UK), World Health Organization: WHO Report on the Global Tobacco Epidemic, 2011: warning about the dangers of tobacco
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Also, we excluded participants who reported using cigars as blunts every time they smoked a cigar in the past 12 months, given that blunts do not meet this papers definition of a cigar (i.e., a tobacco roll wrapped in either tobacco leaf or another tobacco-containing substance) [2] and are likely to be used differently than cigars (e.g., because of differences in accesss to and legality of marijuana)
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