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We often see the same issues in lower-income communities here in the U.S., said Anne Berit Petersen, PhD, MPH, RN assistant professor for Loma Linda University School of Nursing and the studys lead author

While one 40-foot container of cigarettes (containing 10 million sticks) can be produced in China for just $100,000, the street value of such a container smuggled into the United States is up to $2 million

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Then they smoked their own brand through a device that tested the total volume of puffs and their speed and duration

With full knowledge of the consequences, many of my patients still continue to smoke, choosing to be nicotine dependent