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AP Business writers Vinnee Tong in New York and Michael Felberbaum in Richmond, Va., contributed to this report.

Many of these products are smuggled from China, with one source estimating that Chinese counterfeiters produce 400 billion cigarettes per year to meet international demand.[12] These counterfeit cigarettes are dangerous products, and do not adhere to quality control standards found in cigarettes from authentic brands

Pooled estimate of world leukoplakia prevalence: A systematic review