Hand-rolled cigarettes are as dangerous to health as manufactured cigarettes. There is even some evidence that they are more damaging to health, as they contain more tar and nicotine and smokers use less filters. Unless taxes, and thus prices, are brought into line, there is a real incentive for smokers to switch to hand-rolling cigarettes rather than cut down or quit (4). In all European countries except Ireland and the UK, hand-rolling tobacco is taxed at a lower level and in some cases at a much lower level than manufactured cigarettes. A major effort should be made to increase taxes on RYO tobacco to at least the same level as, or higher than those on manufactured cigarettes (4).
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