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Researchers have found that counterfeit cigarettes can have as much as seven times the lead of authentic brands and close to three times as much thallium, a toxic heavy metal.[19] Other sources report finding insect eggs, dead flies, mold, and human feces in counterfeit cigarettes.[20] During the prohibition of alcohol in the United States during the 1920s, increased enforcement failed to significantly decrease the prevalence of bootlegging because the profit margins were so large and the distribution networks sophisticated

Second-hand smoke exposure remains a concern Second-hand smoke exposure is a significant cause of illness and premature death, increasing the risk of conditions such as ischaemic heart disease, stroke, type 2 diabetes and lung cancer

Trailing the steady decline since the early 1980s in the adult smoking rate, the cancer death rate has declined as well from the 1991 peak

Close shot of filter cigarettes pack