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Counties with statistically significant declines represent a disproportionate share of the population, however, such that 74.4% of the adult male population and 61.1% of the adult female population in 2012 lived in counties where the decline in total cigarette smoking prevalence was statistically significant

The mainstream narrative in South Africa about the illicit trade focuses almost exclusively on the loss of excise tax to the fiscus because of under-declaration

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These differences result in important and somewhat contradictory differences in lifetime exposure, note the researchers