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officials reported that their efforts to counter the illicit trade in duty-free cigarettes face challenges, primarily due to the ability to buy unlimited quantities of duty-free cigarettes at the land border." Much of the tobacco traffic is said to begin at loosely regulated duty-free operations along the border in San Ysidro

There are various reasons why someone might cough so hard that they vomit

Among the top ten types of objects found, cigarette butts and pieces of plastic ranked first, with a percentage of 14% each