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1 2 3 "Use of smokeless tobacco and risk of cardiovascular disease: A systematic review and meta-analysis" (PDF)

Many of these products are smuggled from China, with one source estimating that Chinese counterfeiters produce 400 billion cigarettes per year to meet international demand.[11] Global focus on counterfeit cigarettes has forced the criminals to innovate

Last year, a Convenience Industry Council of Canada report said the governments of British Columbia, Ontario and Newfoundland and Labrador lost up to $2.47 billion in tax revenues over four years due to the growth in illegal tobacco sales

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PMC 437141