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Pack years quantify smoking exposure over time and help measure the cumulative impact of smoking on health

A report from Prudential Securities estimated that about 3 percent of all cigarettes sold in 2002 were acquired over the Internet.[151] A forthcoming paper by economists Austan Goolsbee, Michael Lovenheim and Joel Slemrod, however, concludes that governments will probably find that their ability to raise revenue through cigarette tax hikes is undermined by Internet cigarette sales.[152] The potential of revenue losses from World Wide Web transactions have not been lost on state treasury officials

The survey notes smoking remains the nation's single largest preventable cause of disease and premature death

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