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Additional taxes on tobacco products will further encourage an already pervasive illegal street market in cigarettes purchased from lower-tax states, Karr said

Many of the problems are related to or exacerbated by smoking, including diabetes, coronary heart disease and respiratory disease

This trend indicates a potential for growth in niche markets, where consumers are willing to pay a premium for products that reflect their individuality

Studies demonstrating that e-cigarette use is associated with a subsequent reduction in curiosity or interest in trying cigarettes would support the diversion hypothesis and that e-cigarette use reduces smoking risk