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Even in 2026, many smokers continue this habit because they enjoy doing it

The more conservative but broader estimates showed the top two cities with illicit tobacco products were, at 40%, New York, and, at 37%, Buffalo.[30] A still broader estimate produced figures of 59% in New York and 40% in Buffalo

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These regulations are guided internationally by the World Health Organizations Framework Convention on Tobacco Control (WHO, FCTC), particularly Articles 11 and 13, which focus on packaging, labeling, and advertising restrictions

Cigarette smoking remains the leading cause of preventable disease, disability, and death in the United States, accounting for more than 480,000 deaths every year, or about 1 in 5 deaths