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As of 2015, more than 16 million people in the United States live with at least one serious illness or disease caused by smoking (USDHHS, 2015)

Smuggling in New York has risen sharply since 2006 (+59 percent), as has the tax rate (+190 percent).[3] Other peer-reviewed studies provide support for these findings of substantial black market activity.[4] Recently, a study in Tobacco Control examined littered packs of cigarettes in five northeast cities, finding that 58.7 percent of packs did not have proper local stamps

These findings highlight the importance of comprehensive, system-wide approaches that offer cessation support to all cancer survivors while also addressing strategies to increase readiness to quit

Why Should You Quit Using Nicotine and Tobacco Products