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Specific findings include: Pipe smoking increases the likelihood of heart disease and stroke by similar margins as cigarette smoking Smokers are 24 times more likely than non-smokers to suffer coronary heart disease and stroke Cigar smoking boosts the risk of early death from coronary heart disease by 30%

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[11] In 2013, New York City passed a comprehensive point of sale policy, Sensible Tobacco Enforcement, which restricted price discounts by prohibiting retailers from redeeming coupons or honoring other price discounts for tobacco products, set a minimum price for cigarettes and little cigars at $10.50 per pack, set minimum packaging requirements, and increased enforcement and penalties for tax evasion