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The downtrading trend highlights how macroeconomic pressures are reshaping purchasing behavior in the U.S

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Although secondhand smoke in the house is the most common source, secondhand smoking in autos is 23 times more dangerous than secondhand smoke in the home, making it far more fatal for youngsters, who have greater relative ventilation demands than adults societal costs might be greatly minimized if smoke-free domestic regulations are vigorously promoted in both automobiles and houses