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They choose it knowingly

For those who had a follow-up with pediatric pulmonologist, the pulmonary function test showed impaired diffusing capacity of the lungs for carbon monoxide (DLCO)

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We need partners in government and law enforcement, and believe efforts to combat illicit trade will be most successful if they are focused on: Well-funded and fully staffed law-enforcement agencies, with a clear mandate to act against illicit tobacco trade Transnational legal tools and mechanisms ensuring effective exchange of information between national law-enforcement agencies and judicial authorities to investigate, punish, and deter cross-border trafficking Clear ethics policies and fair compensation for law-enforcement agencies to overcome corruption Funding intelligence efforts, enabling law-enforcement agencies to investigate criminal networks Legislation, such as asset-forfeiture laws and criminal penalties that deter illicit tobacco traders How can effective regulation combat illicit trade