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Answering that question became more difficult about a decade ago, after all three of the traditional tobacco companies (BAT-Imperial Tobacco Canada, PMI-Rothmans, Benson and Hedges, and JTI-Macdonald) became fully-owned subsidiaries of multinationals and the fourth (Grand River Enterprises) remained a privately held operation

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Additionally, strong manufacturing infrastructure and low production costs contribute to the regions market leadership

Although the majority of smokers report a desire to quit smoking, a small minority who attempt to quit achieve long-term cessation