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This could be cigarettes, bidis (which have three times the amount of nicotine and more than five times the amount of tar compared to a regular cigarette stick), betel nut, gutka, pan masala Every day in India, around 5,500 young people start using tobacco (Patel, 1999)

Retrieved July 12, 2014

[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

CMAJ 2023;195:E63949