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The highest inbound cigarette smuggling rates are in New York (56.9 percent), Arizona (51.5 percent), New Mexico (48.1 percent), Washington (48 percent), and Wisconsin (34.6 percent)

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Vaping is also being increasingly used by people as a means to stop smoking, as they allow one to ingest nicotine without inhaling smoke and other chemicals into the lungs

State and local governments within Tobacco Nation should enact point-of-sale policies, such as keeping tobacco products behind the counter and tobacco promotional materials above the eye level of children to restrict accessibility of tobacco for children and teens, and prohibiting tobacco sales in pharmacies