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Assessment of certainty of evidence was conducted using GRADE analysis

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Kumar confirmed that syndicates use illegal routes to transport illicit cigarettes from neighbouring countries

Maternal smoking after birth has been linked with a threefold increase in the risk of sudden infant death.[24] [25] Smoking is a major risk factor for impotence in men.[26] Smoking significantly increases the risk of impairment of olfactory function, negatively affecting smokers sense of smell and taste.[27] Smoking is a risk factor for dental hygiene problems, including more serious conditions such as chronic periodontal disease.[28] See also ASH Fact Sheet: Smoking and cancer ASH Fact Sheet: Smoking, the heart and circulation ASH Fact Sheet: Smoking and respiratory disease ASH Fact Sheet: Smoking, pregnancy and fertility ASH Fact Sheet: Smoking and mental health ASH Fact Sheet: Smoking and other health conditions Costs of smoking to society Smoking costs England an estimated 44.8 billion per year, while revenue from cigarette and hand-rolled tobacco taxation (excluding VAT) only brings in about 7.5bn per year