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BMJ 2009; 338 doi: (Published 30 June 2009) Cite this as: BMJ 2009;338:b2581

Smuggled cigarettes are undermining health campaigns: A study by the Washington, DC, based Center for Public Integrity has found that the number of contraband cigarettes sold around the world has reached 657 billion a year. The cigarettes, made mainly in China, Ukraine, and Paraguay and which make up 12% of cigarette sales, are undermining health authorities’ antismoking efforts. The trafficked cigarettes contain up to 80% more nicotine and produce more than 130% more carbon monoxide than normal cigarettes, the …

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