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While the trend is shifting toward no smoking indoors, Shwa Era coffee shops, restaurants, and bars have been unphased by this nationwide ban and Japan is still a very smoker-friendly place

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"Specific policies that led to this huge decline of smoking include higher tobacco taxes, the increasing prevalence of smoking bans, and government spending on tobacco prevention and cessation campaigns," he said

At this point, the returns on public-health messaging and social stigma might be bottoming out