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Researchers have found that counterfeit cigarettes can have as much as seven times the lead of authentic brands and close to three times as much thallium, a toxic heavy metal.[15] Other sources report finding insect eggs, dead flies, mold, and human feces in counterfeit cigarettes.[16] During the prohibition of alcohol in the United States during the 1920s, increased enforcement failed to significantly decrease the prevalence of bootlegging because the profit margins were so large, and the distribution networks sophisticated

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Of these, at least 69 are known carcinogens [4].The presence of trace metals in tobacco smoke has been established for a long time [5, 6]

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There are 480,000 deaths each year that are directly attributed to smoking