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The authors upper bound estimates for illicit trade tobacco products were highest in Chicago at 70% and New York at 74%.[31] Tax Avoidance and Evasion: Cigarette Purchases from Indian Reservations Among US Adult Smokers, 2010-2011 is a 2017 paper published in Public Health Reports

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However, tobacco is still an important NC crop, consistently ranking as one of the states top revenue crops, valued at $524M in 2022

Heart and lung issues are often associated with smoking and can lead to strokes, heart attacks, and lung complications like mesothelioma, which can influence your life expectancy

Smoking-related disparities continue to be a public health problem among American Indian/Alaska Native (AI/AN) population groups and data documenting the health burden of smoking in this population are sparse