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Biological samples were immediately transported in a portable cooler with cooling packs to the laboratory for further analysis

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Tobacco Nation Background Tobacco Nation is comprised of 12 states with the highest adult smoking prevalence: Alabama, Arkansas, Indiana, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Ohio, Oklahoma, Tennessee and West Virginia

Each year, scholars at the Mackinac Center for Public Policy, a Michigan think tank, use a statistical analysis of available data to estimate smuggling rates for each state.[1] Their most recent report uses 2019 data and finds that smuggling rates generally rise in states after they adopt cigarette tax increases