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HMRC spokesman has stated that tobacco smuggling gangs are constantly adapting to the huge downward pressure HMRC puts them under and that this pressure has caused the long-term decline of this illegal trade. PAC Recommendations: Investment & Crackdown on Black Market Tobacco Trade The committees findings state that more needs to be done by HMRC and other public authorities to tackle and eliminate black market trading

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Lip cancer (squamous cell carcinoma) Oral leukoplakia Ear cancer (squamous cell carcinoma) Smoking and palmoplantar pustulosis Palmoplantar pustulosis is treatment-resistant, chronic, and disabling dermatosis characterised by pustules, erythema and scaling on the soles and palms