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The Government Accountability Office study, which will be the focus of a congressional hearing on Tuesday, found that Childrens Health Insurance Program Reauthorization Act (CHIPRA) drove manufacturers and price-conscious consumers to gravitate to pipe tobacco and so-called large cigars because it taxed them at lower rates than cigarettes, small cigars and roll-your-own tobacco

The standard diameter for cigarettes is typically between 7.5 mm and 8.0 mm

Cadmium, which can cause lung cancer and is associated with kidney and prostate cancer

However, the growing popularity of e-cigarettes and vaping means that some consumers are getting a nicotine fix elsewhere