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It has truly become a made in the EU problem, as fake cigarettes are being manufactured, distributed, sold, and consumed in countries within the EU, undermining efforts to reduce and eliminate cigarette smokingand public health goals altogether. Despite the overall illicit consumption increase, the KPMG study notes that the majority of EU members 21 out of 27 countriesexperienced a stable or declining share of illicit cigarette consumption in 2022

The paradox consists how the French seem to smoke so many cigarettes but don't appear to be affected by their adverse effects at the same rate as their European counterparts." 8