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In particular, further investigation is needed to determine if reliance on pack-years is appropriate to guide healthcare policy or for enrollment in clinical trials of COPD, or for other uses, all of which typically rely on a minimum of a 10 pack-year history

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Daniel Torras, managing director of Japan Tobacco International UK, said: "Nothing has changed since last summer when the prime minister said: 'There isn't yet sufficient evidence for it and there is considerable legal uncertainty about it.' The Chantler report explicitly references the 'limitations' of the evidence presented by a small group of tobacco control lobbyists."