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FILE - In this Dec. 20, 2010 file photo, tobacco educator Debi Austin comments on the negative effects of tobacco during a news conference in Los Angeles. Austin, a woman who smoked a cigarette through a hole in her throat to illustrate her struggle of nicotine addiction in a California public service advertisement, has died after a long struggle with cancer, health officials and her family said Wednesday Feb. 27, 2013. (AP Photo/Damian Dovarganes, File)