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A University of Illinois study found both smokers and non-smokers were offended by packaging that included graphic messages and images on cigarette packs, with some claiming they felt it was an affront to their freedom of choice, suggesting plain packs may be less offensive but just as effective

However, diastolic blood pressure, mean arterial pressure and heart rate were significantly higher in smokers

At the bottom of the billboard is the surgeon general's warning, which were added to cigarette ads soon after Terry's report in 1964