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Manufacturers, distributors, and retailers who sell or distribute such products in interstate commerce are in violation of the law and will face enforcement actions

The highest rates of respiratory-related deaths are overwhelmingly in the most deprived areas, where people are also more likely to smoke

States can reduce cigarette use even further by investing excise tax revenue in tobacco prevention and control." Some economists, however, argue that high cigarette taxes can do more harm than good, drawing smokers to buy cigarettes in nearby states with significantly lower taxes and resulting in lost tax revenue for California

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