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Among males, Myanmar (62.2%), Nepal (31.3%), India (29.6%), Bhutan (26.5%) and Sri Lanka (26.0%) had the highest consumption rates

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It is also very common for those who rarely smoke to only smoke when they drink. This is an especially tragic combination as nicotine and alcohol both cause significant long-term health complications, complications which are often worsened by the continuing abuse of the other drug

The authors estimated 30.5 to 42.1 percent of packs were trafficked.[3] Smuggling takes many forms: counterfeit state tax stamps, counterfeit versions of legitimate brands, hijacked trucks, or officials turning a blind eye.[4] The studys authors, LaFaive and Nesbit, cite examples of a Maryland police officer running illicit cigarettes while on duty, a Virginia man hiring a contract killer over a cigarette smuggling dispute, and prison guards caught smuggling cigarettes into prisons