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The 64 million packs smuggled into the state now cost the state $224 million in forgone revenue each year. The State of New Hampshire earned $26 million in revenue from cigarette smugglers in 2022, and a total of $955 million from 2007-2022, the report concluded

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The CDC, as well as the New York State Department of Health, in conjunction with the University of Rochester Medical Center have proposed a diagnostic algorithm which includes an evocative history of E_cigarette use in the last 90 days, a compatible clinical presentation with respiratory, gastrointestinal or systemic symptoms and suggestive radiological findings [11]