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Economics Global health Hand-rolled/RYO tobacco Low/Middle income country Price Statistics from Altmetric.com Tobacco useparticularly smokingis the most important preventable cause of premature death and disease, being projected to be responsible for a billion deaths in the 21st century.1 While the tobacco epidemic is levelling off or declining in many high-income countries, tobacco use is on the rise in many low-income and middle-income countries.2 Africa is a critically important region where the tobacco epidemic could exert an extraordinary toll

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