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Camping & Emergency Use: Not everyone lives spitting distance from a good campsite or a large forested area

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Researchers have found that counterfeit cigarettes can have as much as seven times the lead of authentic brands and close to three times as much thallium, a toxic heavy metal.[17] Other sources report finding insect eggs, dead flies, mold, and human feces in counterfeit cigarettes.[18] During the prohibition of alcohol in the United States during the 1920s, increased enforcement failed to significantly decrease the prevalence of bootlegging because the profit margins were so large and the distribution networks sophisticated

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However, this does not include the money spent by residents on tobacco (which is lost to the local economy), which is estimated to be 84.6 million each year (legal and illegal) nor does it include the quality-adjusted life year value applied to the intrinsic value of life which gives an estimated cost of 230 million per year though premature deaths from smoking