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Right now, governments, businesses, and communities keep paying a heavy price through lost money, more crime, and worse public health

4 These determinants of smoking behavior can also be described within a larger environmental and social context called the Social Determinants of Health (SDH)

Smuggling in New York has risen sharply since 2006 (+59 percent), as has the tax rate (+190 percent).[3] Other peer-reviewed studies provide support for these findings of substantial black market activity.[4] Recently, a study in Tobacco Control examined littered packs of cigarettes in five northeast cities, finding that 58.7 percent of packs did not have proper local stamps

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