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There were no discernable patterns according to ethnicity, gender, or diagnostic tests

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Illicit trade with tobacco products is a global multibillion-dollar operation, which often involves some of the worlds worst criminals.[21] In the U.S., the states that suffer the most from smuggled tobacco products are those where cheaper products are easily available.[22] Impact of New Vapor Tax From a pure public health standpoint, the rationale for taxing all nicotine products, and not just traditional tobacco products, is not very strong

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