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As per a recent study, during 20152019, there were 165 803 900 SLT users across SEAR, with 479 466 attributable deaths annually, of which India accounted for 79.9%, with 383 248 deaths

This report quantifies the extent of the problem through 2023 and highlights how state and federal policy including flavor bans and cigarette tax hikes have reshaped smuggling patterns nationwide.[*] California now tops New York as Americas top inbound smuggling state.[] New York had long been Americas king of smuggled cigarettes