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Commercial smuggling is a much larger operation and generally originates in tobacco states that have low excise taxes

[15] [4] In 2020, an World Trade Organization Appellate Body (WTOAB) assessment of the Panel's findings upheld the findings of the Panel regarding the effect of TPP on reducing smoking prevalence and cigarette consumption, concluding that "while the appellants may disagree with the Panel's review of the factual evidence, as well as its conclusion, the Panel's explanation for how it reviewed the evidence and its reasons for its ultimate conclusion are quite clearly expressed

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Smoking prevalence is declining, but remains high, with almost 47% of 17-year-olds declaring that they have already experimented

Cigarette smoking can also affect male-fertility