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Ethics and informed consent The study has been approved by Eastern Institute of Technology Research Ethics Approvals Committee (REAC Reference number EA02180123)

.Contraband tobacco needs to be better controlled but this is difficult, especially as some indigenous groups view the tobacco trade as a legitimate business protected by ancient treaties.

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"We believe in true partnerships that share resources, skills and expertise and accelerate our own work or bring us capabilities that we could not easily or economically develop ourselves."

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