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The Tobacco Retailers Alliance, which represents independent stores that sell tobacco in the UK, says that illicit tobacco has been found to contain pesticides, arsenic and rat poison not to mention higher levels of nicotine while a study from the Tobacco Control Research Group at the University of Bath claims that the tobacco industry is working to secure control of the global track and trace system that the United Nations wants in place to counter smuggling

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While 18 to 20-year-olds report smoking less in surveys, biomarkers indicating tobacco and nicotine exposure tell a different story

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Smoking is the most common cause of COPD, but long-term exposure to air pollution or chemicals can also play a role