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for its cigarette tax of $2.00 per pack (enacted September 2005), compared with the national average of $1.93

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When Massachusetts implemented a ban, there was a notable shift of sales to neighbouring states, resulting in a stable level of consumption but a substantial decline in tobacco tax revenue for the state

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These include liver and colorectal cancer, diabetes mellitus, ectopic pregnancy, erectile dysfunction, age-related macular degeneration, orofacial clefts in newborns (as a result of maternal smoking), rheumatoid arthritis, and health problems such as inflammation and impaired immune functioning