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The continuous increase in smoking-attributable mortality in older female cohorts remains cause for concern

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[17] Estimates put Chinese counterfeit production as high as 400 billion cigarettes per year to meet international demand.[18] Because of the enormous volume of product that ships into US ports from China, it may be easier and lower cost to smuggle Chinese cigarettes into California markets through US ports than to try to capitalize on tax arbitrage by transporting products across the continental US

It just creates do-goodery, but it doesn't do good." John Lydon couldn't have put it more pithily