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When reflecting on PAL implementation, including the smoking cessation elements, health workers identified the limited long-term impact of PAL training and lack of monitoring and supervision conducted: Initially we did well (with PAL) because there was good supervision but later it got lost because there was no review. (phase 1: health worker focus group, PHCC 1) The researchers often noted how, without their presence as a constant reminder, few staff would have implemented the intervention

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Many of the tourists automatically do go outside and smoke and are quite surprised when we tell them that they can smoke inside, Jones told the New Orleans City Council during its first meeting to consider an ordinance making it illegal to smoke in most indoor public spaces

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