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Ms Daonoi said makers of imported cigarettes have taken a competitive edge from the current excise tax structure, under which their premium brands shoulder a smaller tax burden, by using the lowered tax to subsidise cheaper brands, while all brands produced by TTM are subject to a higher tax

Cigarette smoking is a major risk factor for cardiovascular disease, including heart disease, ischemic stroke, and hemorrhagic stroke

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This trend may reflect historically higher smoking rates in high SDI countries, recent proactive tobacco control efforts, increased tobacco use in low SDI countries, and the effectiveness of policies in high SDI nations