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"It's great having tobacco control strategies but the enforcement arm of that needs to be in place, and if it's not it completely undermines the wider strategy." Experts say counterfeit cigarettes, in particular, can contain poor quality tobacco, plastic and human or rat faeces

Social security (INPS) contributions, and some other government charges such as waste tax ( tassa sui rifiuti ) can also be paid here

The current track record of the FDA under Robert Califf and Brian King raises significant concerns about its commitment to harm reduction in tobacco regulation

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