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The decline in the States is in part due to aggressive anti-smoking public service campaigns that aren't as common in China, where "the belief that protective biological mechanisms specific to Asian populations make smoking less hazardous, that it is easy to quit smoking, and that tobacco use is an intrinsic and ancient part of Chinese culture" are widely accepted as true, the study reports

As for the scientific evidence, it points to a number of issues with these shock marketing tactics when it comes to helping people kick their smoking habit

Responsibility for Lots purchased 20.1 The Buyer shall be responsible for any loss or damage to, or caused by, a Lot purchased by the Buyer from the fall of the Auctioneer's hammer and neither the Company nor its employees or agents shall be responsible for any Claim while the Lot is in its power, possession or custody, except where the Company (and its employees or agents) has not acted with due care and skill