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The recognition that cigarettes were deadly when used as intended and more lethal than a number of other unsafe products combined was influential and important in the progress of tobacco control

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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

In Washington, a policy report by the Washington State Health Care Authority and the University of Washingtons Addictions, Drugs, and Alcohol Institute expressed concern about the nonmedical use of highTHC products