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A public health analysis of harm reduction approaches must also take into account the impact on those who otherwise would have never used nicotine or would quit altogether without a harm reduction option

(At $1.78 per pack, New Hampshire has the lowest tobacco tax rate north of Virginia.) The studys data, from 2022, demonstrate that when states increase their cigarette taxes, smuggling rates increase, both in the form of increased purchases in neighboring states and through illicit international channels, the report concludes