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Columbus, OH: Ohio State University Press

Chintamani explained that, on the whole, smuggling is often a very complex process involving a number of players, a circumstance that sometimes makes it quite difficult to trace the operations to the top. In the case of cigarettes being imported into Guyana, most of these are shipped from their places of origin to Suriname, smuggled overland into Guyana and distributed across the country

Your lungs will fight that, said Panagis Galiatsatos, MD, MHS, an assistant professor in the Division of Pulmonary and Critical Care Medicine at Johns Hopkins University

There is also a history of manipulating and destroying evidence