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The average 40-year-old smoker who started in his teens will have made more than 20 failed attempts to quit

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TISA South Africas Tobacco Tax Mess Informal retail store in South Africa, selling cigarettes (Note: Not all brands shown in the image are illicit) TISA - An Influential Club The Tobacco Institute of Southern Africa (TISA) operates as a voluntary trade association representing tobacco farmers, leaf merchants, leaf processors, manufacturers, and tobacco product importers and exporters active in the region