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Dimensions: 2336 x 3504 px | 19.8 x 29.7 cm | 7.8 x 11.7 inches | 300dpi Date taken: 5 October 2007 Photographer: dpa More information: This image could have imperfections as its either historical or reportage.

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Goldstein said the current public health environment is struggling to mobilize fast enough to work against this new smoking culture