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STATE AND LOCAL ACTION NEEDED States and local communities are often the incubators of strong tobacco control policies

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Within those constraints, however, there is still substantial space for brand expression, and packaging design remains one of the primary competitive levers available to tobacco brands

"New York has the highest inbound smuggling activity, with an estimated 54.3 percent of cigarettes consumed in the state deriving from smuggled sources in 2022," note Hoffer and Macumber-Rosin

Tobacco companies also poured money into, and built relationships with, Black institutions