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His conclusion was that between 13 percent and 25 percent of cigarette consumers smuggle their smokes and that the central implication of this study is cross-border smuggling confounds many of the potential health and revenue gains from cigarette taxation. In 2012 the Centers for Disease Control wrote that smokers seem to be avoiding additional taxes while continuing to feed their nicotine habit

It is necessary to ensure the increase of tobacco excises, which will lead to an immediate price increase of at least 10% according to the World Bank, this allows reducing tobacco consumption by 4-8%

This is based on the assumption that tobacco smoking is overwhelmingly the most important cause of lung cancer, and that the incidence of this disease in the absence of smoking would be more or less the same in all populations, so that contemporary incidence (or mortality) rates from lung cancer simply reflect the cumulative exposure of a particular population to tobacco smoking