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In addition to this state tax, a prepaid sales tax is applied, and New York City imposes an additional $1.50 per pack, bringing the combined tax to $6.85, often resulting in prices over $14 per pack

doi: 10.1056/NEJMra0800028 132 ChengZLi-ShaGJing-LinZWen-WuZXue-SiCXing-XingCet al

Haroon M, Khan K, Thong L, Ali K, Janjua F

Studies of per capita consumption (for Italians 15 and over) of legallysold tobacco suggest that it increased from about 1 kg per person per year (1000 cigarettes) in 1950 to about 2.3 kg in the mid-1980s and then declined

Other causes include: pregnancy, caffeine, alcohol or spicy food
BMC Cancer 12 , 385 (2012)
