Counterfeiting often begins in countries like China and North
Korea, where millions of illegal cigarettes are produced and
shipped to the United States.

Counterfeit cigarettes are manufactured in unregulated
factories or underground facilities, and often in unsanitary
conditions. Counterfeit cigarettes have been found to
contain a variety of contaminants, including feces.

Cigarette packaging looks so close to the real thing, it is very
difficult to tell them apart. Not only that, the counterfeit
cigarette trade has been linked to organized crime syndicates
and terrorists networks in the United States and abroad.
Bottom line, career criminals are all over it.