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Finally, among the studies not using data from the original TCS reports, the main limitations were that some policy areas could not be quantified accurately and that some of the policy components assessed by the TCS could not be included 34 because of potential error in the measurement of their estimates, and inadequate accuracy and comparability of the data 33

Number of years lost to disability and number of deaths are also taken from the IHME 23

The Tobacco Pack Surveillance System (TPackSS) TPackSS, developed with funding from Bloomberg Philanthropies through the Bloomberg Initiative to Reduce Tobacco Use, contains a visual database of cigarette packs from 14 low- and middle-income countries (LMIC) to monitor how tobacco companies are marketing their products and track their compliance with tobacco pack requirements including health warning labels

Its mostly a healthy response because your body is trying to protect you