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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

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When researchers looked at specific causes of death among study participants, a particularly strong association was observed for lung cancer mortality