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144 11.9.7 Reducing smoker capacity to access tobacco in retail outlets 11.9.7.1 Full smoker licensing NSW public health academic Professor Simon Chapman has proposed a multi-faceted licencing system for smokers to be able to purchase cigarettes, which includes the following elements: Smart card technology A database of smokers A maximum purchase limit chosen by the smoker A maximum daily limit of 50 cigarettes per day, averaged across two weeks A reasonable licence fee Periodic renewal A financial incentive to surrender the licence A 6-month cooling off period that allows smokers to cancel their licence revocation A knowledge of risk test for new smokers, similar to the test undertaken when obtaining a drivers licence The possibility of a gradual increase in the minimum age for purchase

54% of EVALI patients who reported using nicotine-containing products provided data on product source (as of January 7, 2020) : 69% reported acquiring products only from commercial sources

About 26.1 percent of people living in poverty smoke while only 13.9 percent of those living at or above the poverty level smoke