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Requiring ugly images of smokings harm on cigarettes wont breach First Amendment, court says NEW ORLEANS (AP) A federal requirement that cigarette packs and advertising include graphic images demonstrating the effects of smoking including pictures of smoke-damaged lungs and feet blackened by diminished blood flow does not violate the First Amendment, an appeals court ruled Thursday

Cigarette pack size can influence smoking behavior in several ways

"The real issue over time is whether they stick with the Dollar Tree format," he said