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When adding other categories, including e-cigarettes and smokeless tobacco, 19.3 percent of adults, or 47 million people, used tobacco products of some kind in 2017, according to the CDC

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5 Whether these companies are directly involved in smuggling is contentious, but what we can say is that they often deliberately leave their supply chains unsecured, making smuggling by other parties easier, says Dr Hana Ross, an expert on tobacco control and Principal Research Officer at the Economics of Excisable Products Research Unit at the University of Cape Town